Routine inspection·April 2, 2025

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. Upon arrival, there were six (6) residents in care, 2 staff on duty with the Administrator also on duty.. LPA was greeted by Administrator, Cecilia Demonteverde and explained the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) and is home to ambulatory and non-ambulatory residents with a dementia diagnosis. There are currently five residents on hospice. Entrance interview conducted: A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the one-story facility for fire safety, personal accommodations, and food service. First aid kit was observed to be complete. LPA toured the facility with Administrator. LPA observed four (4) resident bedrooms. Two of the resident rooms are shared and two are private. Bedrooms 1 and 4 have private bathrooms. There is a bathroom off the hallway near bedrooms 2 and 3. All residents have accessibility to the hallway bathroom. There are two staff bedrooms that are inaccessible to residents in care. Walls, floors, and doorways are clean with no safety hazards. The kitchen area consists of a countertop area, a refrigerator, a stove, a microwave, and a sink. Sharps and centrally stored medications are kept in a locked cabinet under the kitchen sink. Fire inspection was current as of 2/11/2025. There is a sufficient amount of non-perishables for seven (7) days and perishables for two (2) days. Emergency food is stored in a second refrigerator and pantry located in the garage. There is a washing machine and a clothes dryer in the garage. Chemicals and toxic substances are kept in a locked cabinet under the kitchen sink. Please continue to 809-C, Pg 2. The facility has eight dual smoke alarm/carbon monoxide detectors and a pull fire alarm that alerts the local fire department. The living room and dining area are neat and clean. The facility maintains a comfortable temperature. Hallways, bedroom doors and walls are in good repair. Residents may participate at will in activities such as personal care appointments, medical appointments, games, exercising, neighborhood walks, and sitting on the patio. Upon arrival, LPA observed family members of three different residents at the facility. Administrator Demonteverde stated family members visit daily and participate with residents in various activities including special celebrations. The backyard consists of paved walkways, potted plants, and sitting areas with tables and chairs. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. Exit interview conducted. No deficiencies noted. Copy of report issued at the time of the visit.