Routine inspection·July 15, 2025

On 7/15/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Caregiver, Marife Balabag who was informed of the purpose of the visit and has a criminal record clearance. LPA met with Administrator, Daphne Drapeau who was already present and also informed of the purpose of the visit. The facility has a fire clearance to serve six (6) non-ambulatory/bedridden elderly residents. The facility also has an approved hospice waiver for six (6) but LPA was informed none of the current residents are receiving hospice services at the facility. During today's visit, there was two (2) staff and six (6) residents present. LPA toured the facility with the administrator and observed the facility is made up of a one-story home with five (5) resident bedrooms, two (2) bathrooms, a kitchen, dining area, living room, medication room, laundry room, staff room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. The facility has a cascading rock waterfall feature installed on their landscape in the backyard. However, the waterfall feature is not a fishpond, wading pool, hot tub, swimming pool or anything close to larger bodies of water that may pose a risk to residents in care. Indoor and outdoor pathways were free of obstruction. Outside shaded seating is available for the residents in care. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable foods. Medications are secured in the locked medication room. Administrator tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed a charged fire extinguisher mounted near the kitchen last serviced on 6/25/2025. The facility's certificate of liability insurance expires on 12/12/2025. Administrator showed LPA the residents' digital records which had Departmental required documentation. LPA reviewed the facility's Emergency Preparedness Training noting the facility's last emergency disaster drill was conducted on 6/30/2025. Long Term Care Ombudsman's contact information, residents' personal rights, emergency disaster plans, complaint procedures, and facility sketch are visibly posted on the hallway wall leading to the living room. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to the administrator.