Routine inspection·February 25, 2026

On 02/25/2026 at 3:00 PM, Licensing Program Analyst (LPA) L. Alexander arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Caregivers, Apollo and Anthony McKarson and explained the purpose of the visit. Apollo phoned the Administrator, Lisa Bermudez and Licensee, Mynette Boykin, to inform. Ms. Bermudez and Ms. Boykin arrived to the facility shortly. The facility’s fire clearance was approved for six (6) residents in which all may be non-ambulatory. In addition, one (1) bedridden and an approved hospice waiver for two (2) residents. Administrator Certificate #6071393740 expires 07/29/2026. LPA toured facility with Apollo including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) total bedrooms which six (6) bedrooms are occupied by the residents and one (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 106 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one-week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. LIC809-C Continued... LIC809-C (Page 2) Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 02/2026. Emergency Disaster Plan was last posted on 02/24/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 10/02/2025. LPA reviewed three (3) residents records. LPA reviewed seven (7) staff records and five (5) of seven (7) have current first aid training and associated to the facility. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 03/04/2026: LIC 308 Designation of Administrative Responsibility - Reviewed LIC 309 Administrative Organization - Reviewed Updated LIC 500 Personnel Report - Reviewed LIC 610E Emergency Disaster Plan - Reviewed Liability Insurance - Reviewed No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.