Facility Evaluation Report

On 09/22/2025 at 8:23am, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced visit to the above facility. The purpose of today's visit was to conduct the one-year inspection. LPA met with Edilberto Bernardino, Administrator and the purpose of the visit was discussed. Facility is licensed to serve 6 residents from the age range of 60 and over ambulatory, of which 6 may be bedridden with a hospice waiver for 6. (4) of the residents are diagnosed with dementia, (2) residents receive home health, and (2) of the residents are receiving hospice care services. The facility does not handle any of the residents’ money.

The facility has a current administrator certificate for Edilberto Bernardino (#708539740) valid from 09/17/2025 - 09/16/2027. The facility fees are current. The facility has liability insurance Kinsale Insurance #0100310726-2 with each occurrence of $1,000,000 and general aggregate of $3,000,000, effective from 07/01/2025 -07/01/2026

The home is a single home consisting of: (6) residents' rooms, (4) bathrooms of one of the bathroom are for visitors, (1) staff room, a living area, a dining area, a kitchen, an outside seating area, a backyard with a garden and an attached garage.

Between the hours 12:25pm-12:45pm, LPA toured the resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. The water temperature measured at 117.1°F (in the bathroom #1), 119.8°F (in bathroom #2) and 119.1 °F (bathroom #3). Resident bath towels, toiletries, and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards doorways were free of obstructions.