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KAY & JAY 09 LLC in TAMPA, FL

1411 EAST WATERS AVENUE, TAMPA, FL 33604

(941) 565-9193

Active License
Last Updated: 4/22/2026
Sourced from state & federal public records

Facility Intelligence Overview

Safety & Inspections
CMS Citations Record
Clear Record
0
Severe
0
Standard
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• Ask if they have had any state or federal inspections recently.

• Ask how they ensure a safe environment for residents.

Staffing Adequacy
No Data Filed
Capacity
8
Beds
Legal Sanctions
3
On Record

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Sanctions
3
Inspection rows
0
CMS citations
0
Owner records
4
What we found
Source Evidence Preview
Florida AHCALegal sanctionVERIFIED FINDING

Change of ownership occurred

Jun 1, 2022$0Severity: CHOW

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Florida AHCALegal sanctionVERIFIED FINDING

Survey

May 17, 2012$1,000Severity: SanctionStatus: 01

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Florida AHCALegal sanctionVERIFIED FINDING

Survey

Mar 19, 2008$500Severity: SanctionStatus: Upheld

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Ownership and control
Public Record Summary
  • Ownership entity: KAY&JAY 09 LLC (For-Profit)
  • Administrator listed in AHCA profile: JONALDINE ELISCARD JEANBRINVIL
  • 1 principal stakeholder record available from the AHCA profile.

Health Inspections & Citations

Rule Violation2022-06-01

Sanction Applied: Change of ownership occurred

Survey2012-05-17

Sanction Applied: Fine

Fine: $1,000
Survey2008-03-19

Sanction Applied: Fine

Fine: $500

Location & Contact Information

Operational History

Originally Licensed
6/1/2022

Room & Unit Types

Private Rooms3 units
Semi-Private Rooms0 units
Extended Congregate Care Beds0 capacity
Optional State Supplement Beds5 capacity
Private Beds3 capacity
Total Capacity Beds8 capacity

Amenities & Services

Payment Forms Accepted

  • Insurance and/or HMO
  • Medicaid
  • Other

Languages Spoken

  • Creole
  • English
  • French

Activities

  • Games/Cards

Nurse Availability

  • None

Staffing Snapshot

The CMS staffing levels for RNs, LPNs, and CNAs assigned to handle the resident capacity.

Executive Roster

Ownership Entity

KAY&JAY 09 LLC For-Profit

CFO

JONALDINE ELISCARD JEANBRINVIL

Administrator

JONALDINE ELISCARD JEANBRINVIL

Individual Stakeholders

  • JONALDINE ELISCARD JEANBRINVIL — 100%

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