Judy's Care Home for the Elderly

On 09/09/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management - other visit to prelicense the new facility. LPA met with Lovely Hurtado who is one of the designated administrators of the facility. During today's visit LPA conducted a prelicensing inspection and component III. No citations issued. This report is reviewed with Lovely Hurtado and a copy is provided.

On 05/22/2025, Licensing program Analyst (LPA) Jaime Vado conducted an unannounced required - 1 year inspection. LPA met with Administrator Maria Roias and explained the purpose of today’s visit. Currently there are 6 residents and 3 staff present. One of which is the administrator. This is a single level facility with 6 bedrooms for residents. The facility is licensed for age 60 and over. All may be non-ambulatory. With a hospice waiver for 2 residents. At this time there are 2 residents under hospice care. LPA Vado toured the facility both inside and outside. All outdoor and indoor passageway are free and clear of obstructions for emergency exit routes in case of fire or emergency. Facility's ambient temperature is comfortable for residents and LPA. No pools or bodies of water were observed during today's visit on the premises. LPA observed fresh food supplies and emergency one week of nonperishable and two (2) days of perishable foods as in place. Dry goods/can goods are stored in a pantry adjacent to the kitchen. Knives are locked in a drawer next to the refrigerator. Toxic chemicals/cleaning supplies are observed to be locked in the garage of the facility. The garage also contains the laundry area, and both the washer and dryer are observed as functional. There is an additional refrigerator in the garage for resident and staff items. Medications are observed as locked in a credenza in the dining room. Each resident room observed contained the required furniture as outlined in regulations. Facility has functioning smoke detectors within the facility as well as carbon monoxide detectors located through out the facility. Fire extinguishers are observed with inspection dates of 09/13/2024. There are two fire pull stations in the facility, both are located at each door of the facility. The facility is equipped with one common bathroom in the main hall, which is where residents also bathe. Non-skid mats and grab bars are in place. Water temperature is tested at 105F. Continued on next page... 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 Page 2 LPA observed all resident rooms as clean, free of odors, and contained all the required furniture per regulatory recommendations. Resident bathrooms are observed as clean and in good worker order. LPA observed resident linen supplies stored in a hallway closet. Shower floors are equipped with non-skid mats or flooring. LPA inspected the medications and files of 5 residents in care at the facility. Based on review of all resident files, and medications all items are current and logged accurately. 5 staff files are reviewed and they are observed as current. Disaster/fire drill log is reviewed. The last drill is observed to have taken place on 03/03/2025. Facility administrator certificate for Maira Roias is observed as current expiring 01/09/2026. The following updated forms are requested to be submitted to CCLD by 05/29/2024 : • Copy of updated administrator certificates • Copy of facility's liability insurance • LIC308 Designation of responsible staff person • LIC610E Emergency Disaster Plan • LIC500 Staff Schedule • Copy of control of property or copy of lease There are no citations issued on this day. Report is reviewed with administrator Maria Roias and a copy is provided.

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On 6/17/24 LPA Grace Donato made an unannounced annual visit to the facility. LPA met with Care Staff Marissa Milanes. LPA explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageways were free of obstruction. The residents have adequate amount of linens and all personal belongings are intact. While touring the facility it was observed that the room temperature was at 72 deg F. Hot water was also tested in the bathrooms and the temperature was 106 deg F. Carbon monoxide and smoke detector are present in the facility. Client bathrooms were observed to be in good repair equipped with grab bars and non-skid mats. LPA checked the food supply and there is adequate amount of food, 2 days for perishables and & 7 days non-perishable. Five resident records and two staff records were reviewed. Staff have criminal record and fingerprint clearances on file. Staff have current First Aid/CPR certifications on file. Resident records were reviewed and were observed to be complete. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. LPA requested the following documents: LIC308, Certificate of Liability Insurance, Administrator Certificate. No deficiencies are cited at this time. Report is reviewed and a copy is provided.