Routine inspection·September 12, 2025

On 09/12/2025, Licensing Program Analyst (LPA) Vado Jaime Vado conducted an unannounced annual required inspection visit. LPA met with administrator Caridad Alexander. There are currently 6 residents in the facility during today's visit and 4 staff present including the administrator. This is a single level facility licensed for residents age range of 60 years and over all of which may be non-ambulatory. License is approved for 5 hospice residents. There is 2 hospice residents as of today's inspection visit. The physical plant was toured inside and outside of the facility to ensure the safety of the residents. There are no video cameras on site per the administrator. LPA observed the facility kitchen which is clean and observed appliances that are in good repair. Knives are stored and locked in a lower kitchen cabinet across from the stove. Perishable and non-perishable food items are observed as in place. There is an additional refrigerator and freezer in the garage area which carries additional food supplies for resident use. First aid kit is observed as complete with required items. Medications are observed to be locked in the kitchen in cabinets. LPA observed at least two fire extinguishers in place which are currently within operating range, smoke detector, carbon monoxide detectors are observed in place through out the facility, and central heating. Facility is not equipped with fire sprinklers. PPE is observed to be in place stored in a closet within a resident bathroom. Laundry area is also observed as fully operational in the garage. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Continued on next... Page 2 Last emergency/disaster drill was conducted on 07/11/2025. Water temperature was measured at 110F. Cleaning supplies are observed to be locked in the kitchen, in the garage, and in a hallway closet in the main hallway. LPA observed all resident rooms as clean, free of odors, and contained all the required furniture per regulatory recommendations. Extra resident linen supplies are observed as in place in hallway closet and some in each resident's room. Resident bathrooms are observed as clean and in good worker order. Shower floors are equipped with non-skid mats or flooring. Medications and logs are observed today as current. During today's inspection LPA reviewed 6 resident files which are current and 3 staff files which are current. Administrator certificate is observed as current expiring on 08/08/2026. No citations issued on this day. Report is reviewed with Caridad and a copy is provided on this day.