Routine inspection·April 24, 2026

On 04/24/2026 at approximately 08:14AM, Licensing Program Analyst (LPA) Troy Watson conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Assistant Administrator Paula Dela Rosa. LPA explained the purpose of today’s visit. The facility is a two-story RCFE residence, licensed for (35) non-ambulatory and (3) Hospice Residents ages 60 and up. The facility consists of (33) resident bedrooms, (2) visitor bathrooms, (1) living room, (1) activity room, (1) dining room, (1) kitchen, (1) laundry room, and (1) shaded patio area. On 04/24/2026 the Department toured the physical plant with the Assistant Administrator Paula Dela Rosa. There were no bodies of water or obstructions on the premises. A total of (10) rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents, personal belongings were observed. The Bathrooms were found to be within Title 22 regulations and were completely operational with grab bars in the shower and grab bars by the toilet. The department inspected () the smoke alarms / carbon monoxide detectors. And they were in operable condition. The water temperature measured between: (113.7°F – 116 °F) in the Kitchen and (110. °F -115.7°F) in the Bathrooms. CONTINUED ON LIC809-C Evaluation Report Continues LIC 809-C The Department observed the facility to be clean, sanitary, and appropriately furnished at the time of the visit. Storage areas for personal hygiene products were observed. Sharps objects and cleaning agents were locked and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available on the property premises. All (9) fire extinguishers were inspected, charged and operable. The facility currently has 32 residents, and 3 resident files were reviewed and complete. The facility currently has 8 staffed employees, and 3 files were reviewed. The facility has 2 locked medicine carts stored for residents’ medication. The first AID kit was checked and contained a certified manual and it contained tweezers, thermometer, tape, gauze and scissors. The department observed the facility's Infection Control Practices, Plan of Operations, Emergency Disaster Plan and See Something Say Something Poster, posted in the facilities hallway. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to the Administrator Arjene Aguirre.