Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia made an unannounced visit to the facility to conduct a continuation of the annual licensing inspection that commenced on September 15, 2025. LPA identified herself to Caregiver April Magat and was granted entry into the facility. Administrator Yasar was contacted and arrived at the facility to join the inspection.

The facility is licensed to serve six (6) residents; of which all 6 may be non-ambulatory and/or receiving Hospice Services, and 1 resident may be bedridden. The facility’s current census is five (5) residents, and all 5 residents were present.

During today’s visit LPA Correia conducted a staff records review and conducted a partial facility tour. A resident records review was conducted on September 15, 2025.

An overall inspection of the facility continued today, however due to time constraints LPA was unable to complete the visit and will return later to conduct the remaining portion of this inspection.

No deficiencies were cited during today's visit. This report was discussed with Administrator Yasar. A copy of the report and License Rights (01/2016) will be provided at the conclusion of the visit, and signature on this form acknowledges receipt of the rights and a copy of this report.