Routine inspection·March 4, 2026

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 12:29PM. The LPA met with the Administrator Omowunmi Balogun informed them of the reason for the visit. Entrance interview conducted. Beginning at 12:50PM, the LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed knives and cleaning supplies stored inaccessible. Kitchen appliances were clean and in operable condition. The facility had a sufficient supply of perishable, non-perishable food, and emergency food. Food in the refrigerator and freezer were observed to be properly stored with labels and dates. COMMON AREAS: At the time of the visit, living room/office and dining room furniture was observed to be in good condition. A fireplace was observed in the living room that was screened and inoperable. Required postings were observed in the office area. There was a secured storage room that contained extra facility supplies and emergency water. The facility maintained a comfortable temperature throughout the visit and nightlights were observed throughout the hallways. Report Continued on LIC 809-C BEDROOMS/RESTROOMS: There were eight (8) total bedrooms: six (6) private resident rooms and two (2) secured staff rooms. Each bedroom had a direct exit to the outside and the facility approved for six (6) bedridden residents. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in a hallway closet. There were three (3) total restrooms in the facility: one (1) staff and two (2) shared resident restrooms. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hot water was tested and measured between 116.2 degrees F and 118.4 degrees F which is within the required range per regulation. OUTDOOR AREA: The rear yard had a shaded area equipped with furniture in good condition for resident and visitor use. Exits and passageways were free of obstruction. There were three (3) emergency exits: two (2) self-latching gates and one (1) driveway gate. The rear yard also had a laundry room with machines in good condition and a secured shed with general storage. RECORDS: Record review began at 1:12PM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and reviewed annually as required. Fire extinguishers were observed and purchased on 01/27/2026. Emergency disaster drills are conducted quarterly, with the last documented drill on 03/01/2026. Smoke and carbon monoxide detectors were tested at 1:52PM and were operational. MEDICATIONS: Medication review began at 1:58PM. Medications were centrally stored and kept inaccessible in the office area. Medications were observed for two (2) residents. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.