Routine inspection·September 25, 2025

Licensing Program Analyst (LPA) Sandra Urena arrived unannounced at the facility to conduct the required annual inspection. The LPA was greeted by the Administrator Cristina Hernandez, and the LPA explained the reason for the visit. The LPA and the 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. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. Smoke detector (s) and carbon monoxide detectors were tested and operational at the time of the visit. The LPA observed required postings by the front door area. KITCHEN: Kitchen knives will be stored in a locked and inaccessible kitchen drawer. A seven-day supply of non-perishable food was available, as well as water supply. The supply of dishes is adequate. Appliances in the kitchen were clean and all appeared functional. Kitchen cleaning supplies will be stored and locked under the kitchen sink; however. Trash cans have a tight-fitting lid. There were no pesticides or toxins stored near food, or preparation area. The first aid supplies were complete, including a thermometer and a current version of a first aid manual. Two fire extinguishers were observed; one is located near the kitchen area and one in the hallway leading to the bedrooms and were last serviced on 09/10/2025. BEDROOMS : There are five (5) bedrooms for residents in care, and one(1) bedroom for staff. Rooms 1, 2, 3, and 4 are designated as single/private rooms, and bedroom five (5), is designated as a shared bedroom. All residents’ bedrooms need window screens, and window curtains/blinds. . All residents’ bedrooms are cleared for non-ambulatory. All bedrooms were supplied with all required bedding and linens. There is sufficient lighting as well as closet and drawer space available. BATHROOMS: There are four (4) bathrooms. Bathroom (#1) is in the hallway for staff and visitors. Bathroom (#2) is a shared bathroom for bedroom #5. Bathrooms (#3 and #4) are shared bathrooms between bedrooms 4, 3, 2, and 1. All bathrooms are equipped with toilet and shower grab bars. There are sufficient supplies of towels, paper goods and personal hygiene supplies. Nonskid mats were observed. Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The hot water temperature measured within the regulations. OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for residents' use. There is one side gate for resident use and is single-latched. No bodies of water were noted. GARAGE/LAUNDRY ROOM: There is a laundry area equipped with washer and dryer. Detergents and cleaning supplies will be stored in a locked cabinet above the washer and dryer. The laundry area is located in the garage. The facility has an attached garage. The door will be kept locked at all times. RECORDS: Residents’ records were reviewed for, but not limited to care plans, medical records, admissions agreement, 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 files were in order. MEDICATIONS: Medications are centrally stored and locked in a cabinet in the kitchen area next to the refrigerator; medications are labeled and checked for expiration dates. The medications are documented properly on the centrally stored medications and destruction record. No errors were observed during the medication review. The LPA reviewed the following documents: - LIC500 Personnel Report - LIC9020 Resident's Roster - Certificate of Liability of Insurance _ Emergency Drill Logs No citations were issued. Exit interview conducted. A copy of the report was issued.