Routine inspection·November 17, 2025

On 11/17/2025 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced. to conduct an annual inspection. LPA was greeted and allowed entrance into the facility by staff Nick Federico. LPA spoke with Administrator Antonio, who was not able to come to the facility at this time. Program Director Amber Rubio arrived and assisted with the annual inspection Facility is licensed for 4 residents with a current census of 4. The facility has 3 bedrooms and 2 bathrooms. 2 residents share the master bedroom, and the other 2 individuals have their own bedrooms. LPA observed the facility to be clean, odor free, and clutter free. LPA did not observe any pests or insects in the facility. Emergency exits were clear and free from obstruction. Fire extinguisher was last serviced 02/26/2025 and has current charge. Smoke & carbon monoxide detectors were tested and are in working conditions. Water temperature was checked in the common bathroom which read at 106.7 degrees Fahrenheit. LPA observed resident bedrooms which are properly furnished and have adequate lighting. LPA reviewed a sample of resident files and staff files which are current and up to date. LPA observed 2-days worth of perishable food items and 7-days worth of non-perishable food items. Facility has a pool which was properly locked and inaccessible to residents. LPA observed the following deficiencies: LPA observed disinfectants and cleaning supplies accessible to residents in care inside a cabinet above the toilet in a common bathroom. LPA also observed a small shed outside of the office/garage in the backyard to have poisonous substances. LPA reviewed centrally stored medication log for R1 which was not completed correctly. Future start dates were entered and incorrect fill dates were entered. Exit interview was conducted and a copy of this report LIC809, LIC809D, and appeal rights were provided to Program Director Amber Rubio.