Routine inspection·June 21, 2024

Licensing Program Analyst (LPA), Debbie Correia, made an unannounced visit to conduct the required One-Year Inspection. LPA Correia was greeted by Herika Rico, identified herself and explained the purpose of the visit. The facility is licensed to serve 15 residents age 60 and above, 90 of whom may be non-ambulatory, 20 bedridden, and 20 residents who may be on hospice care. Resident records were reviewed for a current Physician's Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information, and Admission Agreement. The facility carbon monoxide and smoke alarms were last inspected on February 20, 2024. The facilities last disaster drill was conducted on April 1, 2024. During today’s visit, LPA Correia conducted a partial interior tour of the facility, resident and facility records reviews. An overall inspection of the facility began today, however, due to time constraints LPA was unable to complete the visit and will return at later time to conduct the remaining portion of this inspection. Based on today’s inspection, there are no deficiencies being cited. An exit interview was conducted and a copy of this report, and Licensee/Appeal Rights - LIC 9058 (rev. 01/16) will be provided to Herika Rico whose signature on this form acknowledges receipt of these documents.