Facility Evaluation Report

On July 27, 2026, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit using the CARE Inspection Tool. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrators Neome Golfo and Divina Alipio were available to assist with the facility inspection.

The facility is licensed for six (6) non-ambulatory residents with approved hospice waiver for one (1). Currently, there are three clients and zero (0) Hospice residents present during today’s visit.

This is a single story with an attached garage facility. The facility has three bedrooms, and three bathrooms.

LPA conducted a tour of the physical plant accompanied by caregiver, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 109.5 degrees F. A comfortable temperature of 77 degrees F. was maintained in the facility.

LPA observed the facility to be furnished at the time of the visit. Storage areas for sharps and toxins were secured and not made available to clients. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility had one fire extinguisher that was fully charged. A review of the Medication Administration Record (MAR) was conducted, and LPA observed the records are in compliance. CONTINUED ON 809C