Boyd Senior Care Home

On 02/26/2026 at 10:00 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregiver, Jamil Pediguerra, and explained the purpose of the visit. Mr. Jamil Pediguerra phoned, Administrator, Jerry Pediguerra, to inform. Mr. Jerry Pediguerra arrived shortly. The facility’s fire clearance was approved for capacity six (6) residents in which all may be non-ambulatory. In addition, approval for one (1) bedridden and hospice waiver for two (2) residents. Administrator certificate #7035375740 expires 10/01/2026. LPA toured facility with Jerry including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) total bedrooms which six (6) bedrooms are occupied by the residents and one (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 120 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one-week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. LIC809-C Continued... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LIC809-C (Page 2) Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 10/28/2025. Emergency Disaster Plan was last posted on 02/09/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 01/26/2026. LPA reviewed five (5) residents records. LPA reviewed five (5) staff records and 5 of 5 have current first aid training and associated to the facility. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/05/2026: LIC 308 Designation of Administrative Responsibility - Reviewed LIC 309 Administrative Organization - Reviewed LIC 500 Personnel Report - Reviewed LIC 610E Emergency Disaster Plan - Reviewed Liability Insurance - Reviewed Current Administrator’s Certificate - Reviewed No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 03/22/2024 at 10:45 AM, Licensing Program Analyst (LPA) Lori Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Licensee, Lilia Perdiguerra and explained the purpose of the visit. Mrs. Perdiguerra phoned the Administrator, Jerry Perdiguerra to inform. The facility’s fire clearance was approved for capacity six (6) residents. In which, five (5) may be Non-Ambulatory and one (1) may be Bedridden. Hospice waiver approved for two (2) residents. Administrator Certificate #6020992740 expires 10/01/2024. LPA toured facility with Jerry including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 140 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 10/09/2023. Emergency Disaster Plan was last posted on 03/22/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 03/15/2024. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LIC809-C Continued.... LPA reviewed 3 residents records. LPA reviewed 5 staff records and 4 of 5 have current first aid training and associated to the facility. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/29/2024: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization - If applicable LIC 500 Personnel Report - Show days/hours noted LIC 610E Emergency Disaster Plan - Reviewed Liability Insurance Current Administrator’s Certificate - Reviewed No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 05/12/2023 starting at 11:04 AM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to continue the 1-Year Annual Required inspection from 05/03/2023. LPA met with Licensee, Lilia Perdiguerra and explained the purpose of the visit. The Administrator, Jerry Perdiguerra, arrived shortly thereafter. The inspection continued with reviewing 5 Staff file records, conducting 1 staff and 1 resident interview, and completing the entire CARE tool for this full inspection. LPA toured the facility with the Administrator and observed where prior deficiencies were cited on 05/03/2023. In addition, LPA observed the additional deficiencies cleared that the Administrator repaired/completed with the recent fire inspection. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.

On 5/06/2022 at 12:15 pm Licensing Program Analysts (LPA) C. Fowler arrived unannounced to conduct infection control inspection LPA's met with administrator, Lilia Perdiguerra and explained the purpose of the visit During the Infection Control Inspection, LPA toured facility including but not limited to common areas, kitchen, bedroom, and shared bathrooms. to front entrance, screening station, hand washing stations, common areas. There is one central entry point for universal screening for staff, residents and visitors. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Facility has a sufficient 2-day perishable and 7-day non-perishable food supply. Facility has a 30-day supply of PPE maintained at a central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for residents and staff. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.