Agnes House

Type of visit: Required - 1 Year

On 07/28/2026 at 11:15AM, Licensing Program Analyst (LPA) Andrew Christy arrived unannounced to conduct the 1-Year Annual Required inspection. LPA met with Administrator, Alberto Bernardino, and explained the purpose of the visit. The facility currently houses zero (0) residents with a max capacity of six (6) residents. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area, and backyard. All outdoor and indoor passageways are kept free of obstruction. A body of water was observed and was properly fenced and locked. A comfortable indoor temperature is maintained at 70.0 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured at 119.8 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 07/28/2026. At 12:00PM, LPA reviewed one (1) staff file, found to be complete. The emergency disaster plan was last reviewed 10/01/2025. No deficiencies cited during visit. Exit interview conducted and a copy of this report was provided to the administrator.the state’s words, verbatim · CDSS document, Jul 28, 2026

Type of visit: Required - 1 Year

On 07/10/25 at 9:00 AM, Licensing Program Analysts (LPAs) Andrew Christy and Jill Clancy-Czuleger arrived unannounced to conduct an annual required inspection. LPAs met with and spoke to administrator (ADM) Alberto Bernardino and explained the purpose of the visit. The facility’s fire clearance was approved for 5 Non Ambulatory and 1 Bedridden. LPAs observed that there are no reidents in care and confirmed this with Administrator. Administrator stated that they have never had a resident and were not planning on getting a resident in the near future but wanted to keep the license active. LPA's informed the administrator that the facility is not ready to retain a resident at this time. Administrator agrees that prior to admitting a resident the facility will call CCLD to conduct a walk thorough inspection to confirm that they are in compliance and up to licensing standards. LPAs toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms. All outdoor and indoor passageways are kept free of obstruction. LPAs observed a locked gate around the pool. A comfortable temperature is maintained at 77 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of potential future residents. The hot water temperature in the bathroom was measured at 131.5 degrees Fahrenheit. There is a minimum of 7 day supply of nonperishable and 2 day of perishable foods. Cabinets for centrally stored medication were locked, while sharps and chemicals were only locked some of the time. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last purchased on 04/25/2025. First aid kit was observed to be complete. Continued on LIC809C... ...Continued from LIC 809 The following deficiency was observed during annual visit: At 10:00 AM, ADM stated that there are no staff records on site to be able to review. There was also no Emergency Disaster plan to review, and ADM promised to get it emailed so it can be printed for site. The following observations were made but not cited on due to no residents in care: At 9:30 AM, LPAs observed multiple items of food not labeled with dates outside their original packaging, as well as expired items ranging to the year 2022. At 9:40, multiple cabinets meant for sharps and chemicals were observed to be unlocked, as well as many sharps being openly accessible in the kitchen. At 9:45 AM, LPAs observed fire exit blocked with trash cans and other various items. The designated bedridden room also had a table outside blocking the door. At 9:50 AM, LPAs noticed there were no posters with information regarding the state ombudsman, personal rights, and the complaint poster. As well, the license and administrator certificate were not on display. At 9:55 AM, the hot water temperature in the kitchen was measured to 131.5 degrees Fahrenheit . Due to a lack of residents in the facility, the deficiencies were not cited except staff records not being on site. Exit interview conducted and a copy of this report was made available to the ADM.the state’s words, verbatim · CDSS document, Jul 10, 2025

Type of visit: Required - 1 Year

On 07/17/24 at 1:20 PM, Licensing Program Analyst (LPA) D Panlilio arrived unannounced to conduct an annual required inspection. LPA met with staff (S1) and spoke to administrator (ADM) and explained the purpose of the visit. ADM authorized S1 to act on his behalf and sign the reports. The facility’s fire clearance was approved for 5 Non Ambulatory and 1 Bedridden. LPA observed facility currently has no residents. ADM stated he is keeping the facility open and all annual fees current until the time they decide to accept new residents. At 1:40PM, LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 7 total bedrooms. All outdoor and indoor passageways are kept free of obstruction. LPA observed a locked gate around the pool. A comfortable temperature is maintained at 71 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the bathroom was measured at 115 degrees Fahrenheit. There is a minimum of 7 day supply of nonperishable and 2 day of perishable foods. Cabinets for centrally stored medication and sharps were locked. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last purchased on 07/17/24. First aid kit was observed to be complete. The infection control leader is the administrator. LPA reviewed and interviewed 2 staff. No deficiencies observed during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 18, 2024