Routine inspection·March 10, 2026

At 9:15a.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required One (1) year inspection to the facility. LPA met with Administrator and explained the reason for the visit. At approximately 9:55a.m., Licensee/Administrator joined today’s visit. At 10:00a.m., Administrator and LPA conducted physical plant tour inside and out. During the tour, LPA observed that the facility is a single -story home in a residential community. The front main door is the only entrance being utilized at the facility, it has four (04) bedrooms and two (02) bathrooms. One (01) private bedroom and two (02) shared empty rooms designated for residents, and one (01) bedroom for live in staff. Fire/Earthquake drill was last conducted on 02/10/2026. Required posting observed displayed in the facility living room (complaint hot line poster, personal rights, etc). Temperature of facility wall thermostat is observed and set to 70 degrees Fahrenheit. The fire alarm system was tested and observed to be working, it is hard wired and interconnected. The carbon monoxide detector is located on the wall in the kitchen. No obstructions and/or tripping hazards throughout the facility. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Common Areas : These included the living room and dining area for residents. The common areas were properly furnished. Furniture in common areas was observed to be in good repair. Residents dining table fits six (06) residents. Bedrooms were toured and observed to be clean and properly furnished with appropriate dresser, bedding, (Cont. to LIC 809-C) (Cont. from LIC 809) and linens with sufficient lighting. Linen storage was also checked and observed to have ample supply of clean linen, comforters, and towels in facility. Staff bedroom is designated only for living in Administrator. Every bedroom, hallway area and kitchen has smoke detectors that are functional. Bathrooms were observed to be clean, sanitary and with necessary supplies. The appropriate grab bars and mats in the shower. Hot water temperature measured at a range within the required range. Residents’ personal hygiene supplied are kept in their personal space. Towels and washcloths are not shared. Kitchen Area is observed to be clean and sanitary. Sharps are locked and stored in a cabinet near the exit door to the back of the kitchen. Toxins, cleaning solutions, and soap stored and locked underneath the kitchen cabinet sink. Fire extinguishers were observed to be located in the kitchen area. Fire extinguishers were observed to be fully charged and operable. Food : LPA observed at least two (02) days perishable and seven (07) days non-perishable food at the facility that is properly stored. Frozen foods are wrapped and stored properly as well. Food storage and preparation areas are clean. Medication was observed to be locked in a chest drawer. Store in the dining area inaccessible to residents in care. In the hallway, there is a locked closet with a complete first aid kit, manual and staff folders. Garage is detached from the house and observed to be locked and inaccessible to residents. The garage storages extra supplies, laundry detergents and cleaning agents. Laundry Room: LPA observed washer and dryer machines located outside on the back of the facility. LPA observed to be clean and clear from obstruction. Laundry soap, toxins and cleaning supplies are stored outside on a shelf near the laundry machines, inaccessible to residents. Surrounding Grounds The front grounds of the facility are well landscaped. All passageways and stairways were observed to be clear from obstruction. A covered canopy area with tables and chairs for lounging, the front porch area is shaded with chairs for lounging. The outdoor area was enclosed, and no bodies of water were observed on the premises. Resident Record . One (01) resident record was reviewed. Resident records were complete and current at this time. Staff Records were also reviewed they all have criminal record clearances and are associated with this facility. Staff have current cardiopulmonary resuscitation (CPR) and first aid training. Administrator's certificate was observed to be current. No deficiencies cited during the visit. Exit interview conducted. A copy of the report was provided to Licensee/Administrator.