Routine inspection·April 6, 2026

On April 6, 2026, Licensing Program Analyst (LPA) Kayla Adkison, arrived at the facility unannounced to conduct a Required Annual Inspection. LPA met with Pomali Thitphaneth, Resident Service Director (RSD) and Cliff Keene, Executive Director (ED), and explained the purpose of the visit. During the inspection, there were 26 residents and 5 (five) staff providing direct care. LPA observed residents watching movies, visiting with family members, and participating in craft projects. LPA, RSD and ED toured the facility together to ensure the health and safety of residents in care. Areas toured include but are not limited to: common areas, five (5) resident bedrooms and bathrooms, courtyard, kitchen, and storage areas. All areas observed were found to be clean and in good repair. LPA observed each bedroom to have the required furnishings and working lights. LPA observed the facility to be at a comfortable temperature. There were various activities available for client recreation. LPA observed a calendar of activities posted for residents to view, as well as printed copies for resident rooms. Facility has a 2-day perishable and a 7-day non-perishable amount of food. All residents requiring a special diet are posted for kitchen staff to review. LPA observed all medications, sharps, and cleaning supplies to be locked away and inaccessible to clients in care. LPA reviewed Medication Administration Records (MARs) and found them to be current and accurate. LPA observed a complete First Aid kit. LPA observed (3) three fire extinguishers which were last inspected in February 2026. Smoke detectors and carbon monoxide detectors were observed and found to be in working condition. The facility is conducting emergency disaster drills monthly with the last drill being documented in March 2026. Continued on LIC 809-C In the areas toured no immediate health, safety, or personal rights violations were observed. LPA reviewed a total of five (5) resident files and five (5) staff files which contained all the required documentation. All staff are fingerprint cleared and associated to the facility. All staff training is documented and in compliance with Title 22 regulations. Administrator's certificate is current and posted for public view. LPA obtained a copy of the most recent LIC 500, current liability insurance, and the facility's emergency disaster plan. No deficiencies are being cited as a result of this inspection and the facility is currently in compliance. Exit interview conducted. A copy of this report and was provided, via email, to Executive Director, Cliff Keene, via email.