Routine inspection·July 9, 2025

Licensing Program Analyst (LPA) Lorena Casillas arrived at 09:15 am for an unannounced one (1) year Required visit for this facility. LPA met with the Administrator Wanda Smith. Entrance interview conducted. LPA and the Administrator conducted a tour of the facility at 10:30 am. All clients are currently attending day program. The following was observed: Infection control: The facility has an approved Mitigation Plan approved on 03/30/2021. Proper signage was observed inside along the hallway and in the restrooms. Common Areas: LPA toured all common areas of the facility. LPA observed common areas to be clean and furniture to be in good repair. The facility maintains a comfortable temperature at 80 degrees F. LPA observed fire extinguisher to be full and last serviced on 9/16/24. At 10:40 am, LPA tested and verified all the carbon monoxide and smoke detectors were operational. Kitchen: At 10:50 am LPA toured the kitchen area and observed enough supplies of non-perishables for seven (7) days and perishables for two (2) days at the facility. Snacks and beverages are available for residents in the facility when they want. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Continued on LIC809-C Resident room s: LPA observed rooms to have appropriate bedding sheets, pillowcase, mattress pad, and blankets which are in good condition. There is at least one chair, nightstand and sufficient lighting for each resident. LPA tested the door alarm system, and it was observed to be operational. Bathrooms: At 11:00 am LPA observed the bathrooms to have non-skid mats, grab bars, and wash your hands signs posted. Residents have enough supplies for personal hygiene which is provided by the Licensee. Hot water measured at 115.7 degrees F. Outside areas: LPA toured the outside area of the facility at 11:10 am. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. LPA observed no bodies of water on the premises. Laundry/Garage: LPA observed the laundry room to be in the hallway. Chemicals and laundry detergent are stored in the garage. The garage is currently being used for storage and there is an extra refrigerator and freezer. LPA observed the first aid kits located in a locked hallway cabinet. Resident and Staff Files : LPA conducted a file review of resident records at 12:45 pm. Medications : LPA and Administrator reviewed medication and medication records for proper documentation. Interviews: At 1:45 pm LPA interviewed Administrator only as there were no residents or additional staff present. Administrative: LPA collected Certificate of Liability Insurance, resident roster, and LIC.500. Annual fee is current. No citations issued. Exit interview conducted. Copy of this report was given to the Administrator.