Routine inspection·March 20, 2026

Licensing Program Analysts (LPA) Zabel Chochian arrived at the facility today to conduct a required annual visit. Upon arrival, LPA was greeted by staff and called the Administrator to inform them of the visit. Beginning at approximately 10:45am, the LPA and staff 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. KITCHEN: The LPA inspected the kitchen/food service area at 10:20 a.m. Knives and sharps were observed in a locked cabinet. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 115.1 degrees Fahrenheit. Cleaning solutions, toxins, chemicals, and hazardous items were inaccessible and locked away inside a kitchen cabinet under the sink. COMMON AREAS : At the time of the visit, furniture in the common areas were observed to be in good condition. The facility maintained a comfortable temperature. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 2/1/2026 and conducted quarterly. Activities were observed in the common areas. An adequate supply of emergency water was observed in dining room area. An adequate amount of extra bedding and towels were observed in a hallway closet for resident use. The facility has a working telephone on premises. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. The laundry units, and cleaning solutions, are kept in the locked laundry room / staff bathroom. LPA observed an adequate amount of emergency food stored in the storage area. BEDROOMS: Six (6) bedrooms that are for resident use. Resident bedrooms are private, single occupancy. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Inside temperature was maintained at a comfortable level. BATHROOMS: The facility has a total of three (3) bathrooms. Two (2) are resident bathrooms of which one (1) is a shared resident use, one (1) is a private resident use, and one (1) for staff use. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. Hot water was measured in resident bathrooms. The shared bathroom measured at 119.3 degree Fahrenheit and the private bathroom at 117.2 degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels. OUTDOOR SPACE/ GARAGE: The LPA observed the back yard which had a shaded patio area with patio furniture including a table and chairs for resident use. The LPA observed one gate that self-latches with a clear passageway in case of an emergency. There were no bodies of water observed on the premises at the time of the visit. The garage is kept locked and inaccessible to residents. LPA observed an extra refrigerator with extra food that was checked for proper labels and expiration dates. At approximately 11:15 a.m., all smoke detector(s) in the common areas and resident rooms was tested and functioned properly. Some of the smoke detectors were dual carbon monoxide detectors and operational at the time of testing during today's visit; a single carbon monoxide detector located near resident room was also tested and operational at the time of the visit. The fire extinguishers were observed and fully charged on 1/27/2026. RECORDS : Records review began at approximately 12p.m.; six (6) resident records were reviewed for, but not limited to: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. All resident records observed complete with all required documents. At 1p.m. five (5) Staff records including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the annual required training. All required staff records were in order including the required annual training. One (1) staff, three (3) resident and visiting family were interviewed during the inspection. Staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interviews revealed that no concerns noted or voiced at the time of the visit. Documents requested to be sent to the Department during the visit include: LIC 500 staff roster, and current Liability Insurance. MEDICATIONS: Medications review began at approximately 2:15 p.m. Medications are centrally stored and locked in a kitchen cabinet; medications are labeled and are recorded and dispensed accordingly. First aid kit observed complete and included a manual. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.