Routine inspection·February 13, 2024

Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct an annual licensing inspection. LPA identified herself to Caregiver Lawrence Vergara and was granted entry into the facility. Administrator Von Rivera was contacted and arrived at the facility to join the inspection. The facility is licensed to serve six (6) residents; of which all can be non-ambulatory and/or receiving Hospice Services, and 4 residents may be bedridden. During today's visit all 5 Residents were present. LPA Correia conducted a resident records review, briefly spoke to resident in care, and, accompanied by Administrator Rivera, toured of facility. Per today's facility tour resident bedrooms and bathrooms were equipped with required furnishings, and precautionary. Smoke and carbon monoxide detectors, as well as a fire extinguisher were all present and operable, and up to date. An overall inspection of the facility began today however due to time constraints LPA was unable to complete the visit and will return at a later date to conduct the remaining portion of this inspection. No deficiencies cited at today's visit. This report was discussed with Administrator Rivera. A copy of the report and License Rights (01/2016) will be provided at the conclusion of the visit, and signature on this form acknowledges receipt of the rights and a copy of this report.