Routine inspection·October 22, 2025

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced visit and was greeted by the caregiver, Gabriela Gagarin. LPA stated the purpose of the visit was to conduct an annual inspection. The caregiver confirmed there are three residents living in the facility. The facility is licensed for two (2) ambulatory and four (4) non-ambulatory residents and a hospice waiver for one resident. The Administrator, Fabiola Igid arrived to the facility. LPA Spaeth and the caregiver toured the location at 12:15 pm until 12:45 pm. Common Areas – The living room and dining room are combined. The living room was furnished with comfortable seating. The dining room contained dining room table and chairs. The family room contained a television and comfortable seating. Medications: LPA observed the resident medications were safely locked in a cabinet in the living room. At 12:20 pm, LPA observed a first aid kit which contained a pair scissors was not securely locked in the medication cabinet. At 12:20 pm, LPA observed the caregiver locked the scissors in the medication cabinet. Kitchen – LPA observed a two day supply of perishable food and a seven day supply of non-perishable food items. The knives and cleaning solutions were locked underneath the kitchen sink. The fire extinguisher was located in the kitchen and was operable. Continued on 809-C Hallway - The linens were located in a hallway cabinet. Laundry Area – The laundry area contained the washer and dryer. The laundry detergent was locked in a cabinet above the washer. Garage - LPA observed the garage was locked. The emergency food and water were stored in the garage. Bathrooms : There are two (2) bathrooms designated for resident’s use. All bathrooms were well lit, clean, had grab bars, nonskid mats and trash bins with lids. At 12:30 pm LPA tested the water temperature and the temperature was 105 degrees F. Surrounding Grounds : There were no visible hazards, and passageways were free from obstruction. The side gate of the house was closed and was not locked. There is a covered patio to provide shade and appropriate outdoor seating for residents. Smoke/Carbon Monoxide Detectors : The smoke alarms were tested at 12:40 pm and were operable. The carbon monoxide detector was tested at 12:46 pm and was operable. LPA reviewed resident files at 12:46 pm until 1:15 pm. LPA reviewed staff records at 1:15 pm until 1:40 pm. There were no issues with the facility records. Based LPA's observations, the following deficiency was cited (see 809-D). Exit interview conducted, appeal rights discussed, and a copy of this report issued