Routine inspection·January 8, 2026

Licensing Program Analyst (LPA) Mariana Agban conducted an Annual Required visit and inspection of the facility. LPA met with staff #1(S1) and explained the reason for the visit. Assistant Administrator, Karla Plata was contacted and arrived shortly after . At approximately 09:35 am, with the assistance of S1, LPA took a tour of the physical plant, and the following were observed: Required postings were observed in the entry area. The smoke alarms are interconnected and battery-operated. There are carbon monoxide detectors that function properly in the residents' rooms. The fire alarms and Carbon monoxide detectors were tested. The fire extinguisher is located in the kitchen. The charge date is March 28, 2025. Kitchen : The kitchen appliances and fixtures were functional. LPA found a sufficient amount of properly stored perishable and non-perishable food at the facility. Knives were stored in a locked drawer in the kitchen. Bedrooms : The facility has six (6) bedrooms. There are four (4) bedrooms designated for residents' use. All four (4) bedrooms are designated for private use. There are two(2) bedrooms designated for staff use. All the bedrooms used by residents were properly furnished with appropriate bedding and linens with sufficient lighting. Bathrooms: The facility has three (3) bathrooms. There are two (2) bathrooms designated for residents' use. One (1) bathroom is designated for staff. Both bathrooms in use by residents were properly supplied and had functional fixtures. Hot water temperature was measured from the bathroom sink at 106.2 and 109.5 degrees Fahrenheit. No cleaning supplies or hazardous items were present in each bathroom during the inspection. Common Areas : These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. The dining room table is large enough to sit the capacity of the facility. Seating such as couches were in good repair and sat the capacity of the facility. Properly labeled medications were locked in one of the hallway cabinets. (Continue on 809C) Surrounding Grounds: Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. There is a swimming pool that is fenced all around its parameters. The fence was at least five feet high with a gate, that is also five feet high. The gate was observed locked, making it inaccessible for residents to enter. The gate at the side of the home was checked to ensure no locks were installed, and that exits and passageways were clear for emergency evacuation Garage/ Laundry Area: The garage is attached to the house and can be entered from the second hallway next to the third (3) bathroom. There is a supply of extra paper towels, water supplies, PPEs, wheelchairs, incontinence, and wipes. There is an additional refrigerator with extra food. The laundry area is located in the garage with a washer and dryer. No laundry detergents or toxins were present in the laundry area during the inspection. Resident Files: LPA conducted a file review of resident records to ensure compliance with licensing forms. Cash Resources: LPA with the assistance of the Assistant administrator reviewed cash resources for all three residents. LPA observed that logs and cash resources were inconsistent. LPA observed that there were 260.47$ extra on clients account. Assistant Administrator stated that will review all cash resources and updated the records promptly. Staff Files: LPA also conducted a file review of staff records to ensure forms and training are up to date and in compliance with licensing forms. Medications : Medication and Medication Records were reviewed for proper documentation. Temperature : The facility maintains a comfortable temperature of 69 degrees Fahrenheit Exit interview conducted, citation issued, appeal rights given, and a copy of this report signed and delivered.