Facility Evaluation Report

At approximately 10:30AM, Licensing Program Analyst (LPA) Julie Florio arrived at this facility unannounced to conduct a Case Management Legal/Non-Compliance visit and was greeted by staff. Administrator Mary Grace Defeo was contacted via telephone and arrived at approximately 11:45AM. This facility was placed into Non-Compliance for the following reasons:

Lack of Liability Insurance in the proper amounts

Lack of proper funds to properly maintain facility

LPA toured the facility to ensure residents were safe and secure and to ensure there was proper amounts of food stores, power, water and heat. The temperature inside the facility was comfortable and facility had power, water and heat. Food stores were sufficient to sustain residents in care for seven (7) days as required per regulation.

LPA requested copies of all facility financial documents due today 09/15/2025 for 2nd Quarter 2025: April, May, June 2025 monitoring period to include:

1. Profit & Loss statements for the months identified above or in the report

2. Rent, payroll, income & expense third party documents such as utility statements (gas, electric, etc) supporting the amounts entered on the LIC401

3. Balance sheet for June 2025, and supporting third party documents, such as liabilities (loans, credit cards) supporting the amounts entered on LIC403

4. All Bank statements used for the operation of the facility for the months identified, cash reserve documents for the facility's emergency needs

5. Current General Liability Insurance and Workers Compensation Insurance.