Facility Evaluation Report

On March 3, 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. Direct Care Staff Juliet Gines arrived shortly after to assist with the facility inspection. Staff contacted Assistant Administrator Maria Tavares who arrived later to facility.

The facility is licensed for six (6) non-ambulatory residents of which one (1) may be bedridden with approved hospice waiver for four (4) residents. Currently, there are three (3) Hospice residents present during today’s visit.

This is a single story with a detached garage facility. The facility has five (5) resident bedrooms (four private and one shared) and three full bathrooms.

LPA conducted a tour of the physical plant accompanied by Juliet Gines and Maria Tavares, 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, storage and closet space was available for the resident’s personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 116.6 degrees F. A comfortable temperature of 75 degrees F. was maintained in the facility.

LPA observed the facility to be furnished at the time of the visit. Storage areas for cleaning supplies and sharps objects were stored and not accessible to residents. The kitchen was inspected, and facility has sufficient two day perishables and seven day non-perishable food was maintained adequately. Facility has supply of emergency food and water. CONTINUED ON 809C