Assisted Living
Tampa, FL

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8 bedsHillsborough CountyActive licenseAssistive Care ServicesLimited Mental Health
Assisted Living

Kay & Jay 09 LLC

1411 East Waters Avenue, Tampa, FL 33604

8 bedsHillsborough CountyActive licenseAssistive Care ServicesLimited Mental HealthAHCA licensedFor-Profit
Community snapshot

Inspection & facility statistics

Public AHCA rollup for Kay & Jay 09 LLC (Assisted Living). Class I-IV charts are public below; sign in for citation narratives and the full timeline.

Licensed beds
8
Certified capacity
Deficiencies
10
Moderate inspection concerns
Complaints
0
None on current rollup
Recorded fines
$0
No fine amount on file
10total
  • Class I0
  • Class II0
  • Class III9
  • Class IV0

Class I-IV breakdown

Class I0
Class II0
Class III9
Class IV0

Kay & Jay 09 LLC is a licensed assisted living facility in Tampa, Florida (Hillsborough County). Licensed capacity is 8 beds. Specialty license(s): Assistive Care Services, Limited Mental Health. Nursing coverage: None. Activities include games/cards. Owner: Kay&Jay 09 LLC.

Contact & Location

Verified mailing details for Kay & Jay 09 LLC.

Street
1411 East Waters Avenue
City
Tampa, FL 33604
County
Hillsborough County

License & Facility Details

Public licensing and inspection records from Florida AHCA and CMS where available.

8 licensed beds3 private roomsHillsborough CountyActive licenseAssistive Care ServicesLimited Mental HealthFor-Profit
AHCA file #
11966226
AHCA license #
10480
AHCA license ID
171576
Licensed beds
8
Private rooms
3
County
Hillsborough County
License status
Active license
License effective
Jun 1, 2026
License expires
May 31, 2028
Originally licensed
Jun 1, 2022
Specialty licenses
Assistive Care Services, Limited Mental Health
Ownership type
For-Profit
Owner / licensee
Kay&Jay 09 LLC
Administrator
Jonaldine Eliscard Jeanbrinvil
Deficiencies
10Class I: 0 · Class II: 0 · Class III: 9 · Class IV: 0Sign in for citation details & timeline
Complaints
0

Services & characteristics

Activities
  • Games/Cards
FACILITY DATA
  • Adult Day Care Services
Languages Spoken
  • Creole
  • English
  • French
Nurse Availability
  • None
Consumer Information
  • Bed Hold Policy
Payment Forms Accepted
  • Insurance and/or HMO
  • Medicaid
  • Other
Religious Affiliations
  • Baptist
  • Catholic
  • Christian (non-denominational)
  • Methodist
  • Muslim
  • Presbyterian

Inspection & Deficiency Insights

Public Class I-IV rollup and survey recency for Kay & Jay 09 LLC. Sign in for citation narratives and the full dated timeline.

Moderate inspection concerns10 deficiencies on recordLast survey May 26, 2026

Kay & Jay 09 LLC has enough citations or fines to warrant a careful read of inspection history, especially recurring categories.

10total
  • Class I0
  • Class II0
  • Class III9
  • Class IV0
Class III9

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Amenities & Services

Games/Cards

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