Routine inspection·November 3, 2025

On November 3, 2025, Licensing Program Analyst (LPA) Kayla Adkison, arrived at the facility unannounced to conduct a 1-Year Required Annual Inspection. LPA met with Anna Padilla - Castro, Administrator, and explained the purpose of the visit. Four (4) residents and 1 (one) care staff were present in the facility during the inspection. Licensee, Katherine Cartwright, arrived approximate 20 minutes later and joined the inspection. LPA and Administrator toured the facility together to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, five (5) resident bedrooms, kitchen, backyard, (3) three restrooms, and garage. 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 one window screen to be on the ground outside of a resident's bedroom and one window screen to be partially popped out of a separate resident's bedroom. Administrator noted the facility exterior was recently power washed and she would replace the screens immediately. Facility has a 2-day perishable and a 7-day non-perishable amount of food. LPA observed all sharps to be kept locked in a kitchen drawer and inaccessible to residents. LPA observed medications to be locked in cabinets and inaccessible to residents in care. LPA reviewed Medication Administration Records (MARs) and found them to be in compliance. LPA observed all toxins and cleaning supplies to be locked in cabinets and inaccessible to clients. LPA observed a calendar of events and a daily menu for residents to view. LPA observed (1) one fire extinguisher which was last inspected in August 2025. The facility is conducting emergency disaster drills quarterly. LPA observed a disaster drill log from March 2025. Licensee noted that the logs from the most recent drills were currently at their sister facility. Licensee stated she would create an emergency drill binder for this facility. LPA observed a complete first aid kit ready for emergency use. LPA observed the facility's call/pager system to be working properly. There is a pool on the premises that was properly fenced and locked. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA reviewed a total of five (5) residents' files. Two (2) resident files were missing proof of a negative tuberculosis exam. Administrator noted one result will be faxed to the facility today from the primary care provider and one exam is to be scheduled for a chest x-ray. LPA reviewed a total of four (4) staff files. One (1) staff file was missing proof of a tuberculosis test. Administrator stated the record would be faxed to the facility today. All staff are fingerprint cleared and associated to the facility. Deficiencies are being cited as a result of this inspection. Exit interview conducted. A copy of this report and Appeal Rights were provided, via email, to Licensee, Katherine Cartwright, via email.