Mom's House

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. Upon arrival, LPA was greeted by Licensee McIntyre, identified herself, was granted entry into the facility, and informed of the purpose of the visit. According to the facility’s license, the maximum capacity is six (6) residents. All residents may be non-ambulatory, one (1) may be bedridden, and the facility has a waiver to admit up to three (3) residents who receive Hospice care. During today’s inspection, there were five (5) residents in care. One (1) resident is receiving hospice care and is bedridden. Of the remaining four (4) residents, three (3) are non-ambulatory. LPA Correia, accompanied by Licensee McIntyre, toured the facility and inspected each room. The facility was observed to be clean, sanitary, and in good repair. Pathways were free of obstructions and slip hazards. Resident bedrooms contained the required furnishings. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were available. Medications, toxins, and sharps were all locked and inaccessible to residents in care. *LPA took a lunch break during today's visit. The facility had adequate space and equipment to support dining, laundry, visitation, meetings, and resident activities. The ambient indoor temperature was 74 degrees Fahrenheit and hot water temperature was 112.3 degrees Fahrenheit, within Licensing guidelines. No pools or bodies of water were observed on the premises. Per the Licensee, no firearms or ammunition are stored at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and the facility land line were present and operational. Fire extinguishers were current with inspections. A first aid kit and manual were readily accessible. The Administrator’s certification and the facility’s liability insurance were current. The last disaster drill was conducted on September 25, 2025. Required postings were observed throughout the facility. No deficiencies were cited during today’s inspection. An exit interview was conducted with Licensee McIntyre. A copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) will be provided at the conclusion of the visit. Signature below confirms receipt of the reports.the state’s words, verbatim · CDSS document, Dec 11, 2025

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced continuation visit of the annual inspection on December 16, 2024. LPA Correia met with Licensee McIntyre, identified herself, was granted entrance into the facility, and explained the purpose of the visit. LPA Correia, accompanied by Licensee McIntyre, toured the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal and hot water temperature (71- and- 117.4 degrees Fahrenheit, respectively) were with-in Licensing guidelines. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons accessible to clients. Medications were stored in locked areas. [CONTINUED ON LIC 809C] [CONTINUED FROM LIC 809] No pools or bodies of water were observed on the premises. Per the Licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and the facility landline were all working. Fire extinguishers were in compliance. First aid kit and manual were readily accessible. Administrator’s certification was current as well as the facility’s liability insurance. LPA observed required postings at the facility. No deficiencies were cited during today's inspection. An exit interview was conducted with Licensee McIntyre to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) will be provided at the conclusion of the visit.the state’s words, verbatim · CDSS document, Dec 16, 2024

The state marks this report as 2 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted by Licensee McIntyre, identified herself, and discussed the purpose of the visit to the Licensee. According to the facility’s license, the facility has a maximum capacity of six (6) residents, of which all can be non-ambulatory, one (1) may be bedridden, and the facility has a waiver for three (3) residents who receive hospice care. During today's inspection, there were a total of four (4) residents in care, of which 1 were bedridden and receiving hospice care. LPA Correia began an overall required annual inspection during today's visit. LPA Correia conducted facility staff and resident records reviews, and a brief facility tour. All records for staff and residents were present and complete. There were no health or safety concerns during the tour, and residents in care were in good spirits. Due to time constraints LPA will complete the annual inspection at a later date. There were no deficiencies cited during today's visit. An exit interview was conducted with Licensee McIntyre and a copy of this report along with the Licensee Rights (LIC 9058 FAS 01/16) will be provided to the Licensee at the conclusion of the visit. Signature below confirms receipt of the reports.the state’s words, verbatim · CDSS document, Dec 11, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted by Licensee McIntyre, identified themselves to, and discussed the purpose of the visit to Licensee McIntyre. According to the facility’s license, the facility has a maximum capacity of four (6) residents, of which one (1) may be bedridden, and has a waiver for (3) residents who receive hospice care. During today's inspection, there were a total of three (3) residents in care, of which 0 were bedridden and 0 were receiving hospice. LPA, accompanied by Licensee McIntyre, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility’s ambient internal temperature was compliant, at 71 F. The facility's hot water temperature for faucets used by residents measured at 118.4 and 110.4 F. There was no pool or large bodies of water on the premises. According to the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) and first aid manual were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed multiple staff, and LPA reviewed staff and resident records/files. The interviews did not raise any licensing concerns. The resident and staff files contained the required documents. Confidential records, medications, and toxins were inaccessible to residents in care.. During today's visit, no deficiencies were observed. An exit interview was conducted with Licensee McIntyre, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) will be provided.the state’s words, verbatim · CDSS document, Dec 12, 2023