Facility Evaluation Report

This document is amended to update the number of approved bedridden residents.

On 09/14/2024 at around 9:40 AM, Licensing Program Analyst (LPA) Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Licensee Assistant Cecenirose Pare. LPA explained the purpose of the visit and was accompanied by staff inside and outside the facility during this inspection.

This facility is licensed to serve 6 bedridden residents ages 60 and above.

Complaint with 87705 - Care of Persons with Dementia.

Approved for 1 Hospice resident at any given time.

There are a total of 5 residents residing in this facility.

There are a total of 2 hospice residents residing in this facility.

There are a total of 1 bedridden resident in this facility.

The facility is a one-story house located in a residential street. The home consists of 4 resident bedrooms, 1 staff bedroom, 3 bathrooms, 1 kitchen, 1 dining/living room area, 1 backyard swimming pool, 1 attached garage,1 backyard patio area with shaded seating.