Bancroft Villa

Type of visit: Required - 1 Year

On 07/07/2026, at 01:45 PM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this Required 1 Year inspection. Upon entry, the LPA explained the purpose of the visit to Caregivers Mylyn Rios and Leonard Fulton. The Administrator (ADM) Jenette Cope arrived at approximately 2:25 PM. The LPA toured the community inside and outside. The tour of the community included, but was not limited to, residents’ rooms, bathrooms, the kitchen, common areas, the garage, and the yards. The community was clean, appropriately furnished, and well lit. There are no bodies of water on the grounds of the community. The walkways in both the interior and exterior of the community were free from obstructions. The residents’ bathrooms are equipped with grab bars and slip-resistant mats. At 3:57 PM, the temperature in the dining room was measured at 71 degrees Fahrenheit. At 2:17 PM, the refrigerator temperature was measured at 34 degrees and the freezer at 0 degrees Fahrenheit. At 2:39 PM, the maximum hot water temperature was measured at 113 degrees Fahrenheit in the kitchen. There is more than the required minimum of a 7-day supply of nonperishable foods and a 2-day supply of perishable foods on hand. Disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items were in locked storage and stored in areas separate from food supplies. Continued on LIC 809-C . . . . . . Continued from LIC 809 The LPA inspected the community and observed the required postings in the community. The fire extinguishers were last serviced on 06/22/2026. Carbon monoxide and smoke detectors were fully operational. The Emergency Disaster Plan was reviewed by the ADM on 07/02/2026. Emergency and disaster drills are conducted quarterly; the most recent was conducted on 06/12/2026. The LPA observed that the centrally stored medication cabinets were locked, each resident's medication was stored in its originally received container, and staff dispense medications directly from the original container to residents. The first aid kit was observed to be complete. The liability insurance expires on 07/23/2026. An administrator is on site more than the minimum of 20 hours a week to ensure proper business operations are being conducted. The LPA reviewed community records, 5 resident records, and 5 staff records. No citations were issued during the inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 7, 2026

Type of visit: Post Licensing

On 9/22/2025, at 9:15 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to conduct this post licensing inspection. Upon entry, the LPA informed Administrator Jenette Cope of the purpose of this visit. The LPA inspected the inside and outside of the facility. The inspection included the kitchen, dining area, common areas, bedrooms, yards, and garage. An adequate amount of food supplies were observed, more than the required minimum of 2 days of perishable and 7 days of non-perishable food. The central storage for medications was locked. The cleaning supplies and dangerous objects were stored in locked cabinets. The Facility has working smoke and carbon monoxide detectors. The staff of the facility conduct disaster / emergency and fire drills on a monthly basis. The fire extinguishers were put in service on 6/1/2025. The indoor temperature was 76 degrees Fahrenheit and the maximum hot water temperature was 108 degrees Fahrenheit, both within the acceptable range. The LPA reviewed facility, resident, and staff records. No citation was issued during this inspection. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Sep 22, 2025

Type of visit: Prelicensing

On 7/18/2025 at 11:40am, Licensing Program Analyst (LPA) L. Hall conducted an announced pre-licensing inspection. LPA met with Jenette Cope Administrator/Licensee and Joseph Horgan, Licensee, and explained the purpose of the visit. The facility has an approved fire safety clearance for five (5) non-ambulatory and one (1) bedridden resident. LPA inspected the facility inside and out including but not limited to the bedrooms, bathrooms, common living areas, kitchen, garage, back yard. The facility has a six (6) bedrooms and two (2) bathrooms. No bodies of water observed. There is sufficient lighting around the facility. Residents rooms are equipped with the proper furniture, bedding, and lighting. Bathrooms showers/tubs were equipped with non-skid mats. Passageways and hallways are free of obstruction. Locked cabinets available to store medications, toxins and sharps. Hot water temperature is measured at 122.5 degrees Fahrenheit in shared clients' bathroom. Fire extinguisher was purchased 6/1/2025. There is a minimum of 7-day non-perishables and 2-day perishables foods. First Aid kit was complete. Carbon monoxide and smoke detectors present. Facility inspection matches the sketch that was provided. *Comp III waiver approved by Licensing Program Manager H. Humpal* Continued on LIC809C. Continued from LIC809. No Issues were noted during inspection. LPA observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Jul 18, 2025