Facility Evaluation Report

On 10/16/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator, Daphne Drapeau who was informed of the purpose of the visit. Licensee, Ali Naghibi arrived to the facility during the visit as well. The facility has a fire clearance to serve six (6) non-ambulatory elderly residents of which one (1) may be bedridden. The facility also has an approved hospice waiver for six (6) and LPA was informed one (1) resident is currently receiving hospice services at the facility. During today's visit, there was two (2) staff and three (3) residents present.

LPA toured the facility with Administrator Drapeau and observed the facility is made up of a one-story home with five (5) resident bedrooms, three (3) bathrooms, a kitchen, dining area, living room, laundry room, staff room, and attached garage. Resident bedrooms had the required bedding, furniture, and lighting. Bathrooms had grab bars and non-skid mats in the showers. No bodies of water were observed on the premises. Indoor and outdoor pathways were free of obstruction. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable foods. Medications are secured in a locked hallway closet. The facility has additional linens and towels in various colors available for resident use. Administrator tested one (1) of the smoke alarms/carbon monoxide detectors and LPA found it to be operational. LPA also observed a charged fire extinguisher mounted near the garage, which was last serviced on 06/25/2025. The facility's certificate of liability insurance expires on 11/12/2025. Staff present have a criminal record clearance and are associated with the facility. Resident's digital files reviewed had updated physician's reports and Departmental required records. LPA reviewed the facility's Training Log noting their last fire drill was conducted on 09/30/2025. Long Term Care Ombudsman's contact information, residents' personal rights, complaint procedures, emergency disaster plan, and facility sketch are visibly posted near the front entrance and dining room. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Drapeau.