Routine inspection·July 29, 2025

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 01:30 PM. LPA met with the facility Administrator Gabriela Visovan, entrance interview conducted and the reason for the visit was explained. Beginning at 01:33 PM, the LPA, along with facility Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS : There are twenty-seven (27) bedrooms in the facility; all are designated for resident use. LPA and facility Administrator toured ten (10) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. BATHROOMS : Each bedroom in the facility has an attached private resident bathroom. Additionally, there is a shared resident bathroom and a shared shower room in the hallway of the facility. LPA and Administrator observed ten (10) private resident bathrooms, the shared resident bathroom and the shared shower room. Bathrooms were observed to be clean and in good repair and all were equipped with nonskid surfaces. Grab bars were observed next to all toilets and in all showers and all were properly secured. The water temperature was measured between 108.5 and 110.5 degrees Fahrenheit, which is in compliance with regulation. Continued on LIC 809C. COMMON AREAS : This includes the common activity room, hallway, and dining room areas. LPA observed the common activity room to be clean and properly furnished at the time of the visit. The common activity room contained a television and activities for residents’ use. The dining room contained adequate seating and was observed to be clean. Cameras were observed in the common areas and hallways throughout the facility. LPA observed the hallway to contain a dry food storage room, the locked medication room, the Administrator’s office, the common resident bathroom, and the shower room. Additionally the hallway was observed to contain additional fire extinguishers, the activity calendar, emergency exit sketches, and other required postings. The LPA observed fire extinguishers throughout the facility to be fully charged and last serviced on 02/14/2025. Smoke detectors and carbon monoxide detectors were last tested on 04/03/2025 and were functional at the time of the test. KITCHEN : The LPA observed the kitchen area to be clean and inaccessible to clients in care. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) days’ perishable and seven (7) days non-perishable food. The facility has an adequate supply of emergency food and water. The LPA observed one (1) designated cleaning supply cabinet to be locked and inaccessible to residents. The cleaning supplies were stored separately from food and cooking utensils. OUTDOOR SPACE: The outdoor area has sufficient space for outdoor activities. The patio was observed to contain adequate patio furniture including shaded tables and chairs for residents’ use. LPA observed the locked laundry room to contain detergents and other cleaning supplies. LPA observed a locked storage room to contain tools, care supplies, and other chemicals. The patio of the facility has a small water fountain. The facility has an emergency exit gate, LPA observed clear passageways for emergency exit use. INTERVIEWS: LPA interviewed three (3) staff and three (3) residents. All residents stated that staff treat them well and are attentive to their needs. Residents interviewed did not have concerns with the quality of care they received at the facility. All staff interviewed were knowledgeable on their roles and responsibilities, the residents’ rights, the different forms of abuse, and the appropriate reporting procedures for suspected abuse. During today’s visit LPA obtained a copy of the facility’s current liability insurance, employee roster, resident roster, fire alarm test record, and worker’s comp insurance. Continued on LIC 809C. Due to time constraints LPA will return at a later date to conduct resident and staff file reviews, a medication audit, and a review of the facility’s emergency disaster plan and infection control plan. No deficiencies were observed during today’s inspection. Exit interview conducted. And a copy of the report was provided.