Routine inspection·December 4, 2025

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Executive Director Dawn DeStefani. According to the facility’s license, the facility has a maximum capacity of sixty (60) residents, of whom fourty-five(45) can be non-ambulatory, and fifteen (15)may be bedridden. The facility has a hospice waiver for fifteen(15) residents and is approved for locked perimeters. LPA Ngallo, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked areas. (Continued on LIC809-C) The facility's ambient internal temperature as well as hot water temperature at taps accessible to residents were all compliant. No pools or bodies of water on the premises. Per Executive Director DeStefani, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA Ngallo reviewed multiple staff and resident records/files. LPA records review did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Executive Director Dawn DeStefani to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.