Routine inspection·August 18, 2025

Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA was greeted by caregiver Melissa Gile, LPA explained the purpose of the visit. Melissa contacted the administrator Rita Morales and told her LPA was at the facility to conduct and annual inspection. Rita could not meet LPA right away but was available by telephone. LPA At 12:54 p.m., LPA initiated a physical plant tour of both the inside and outside of the facility. The following observations were made: LPA observed required postings in the entry area, a sign-in sheet for visitors and accessible hand sanitizer. Kitchen: The kitchen appliances and fixtures appeared functional. LPA found a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility. LPA observed some opened and repackaged food was properly stored in clearly labeled, containers. LPA observed knives and sharps in a cabinet above the stove accessible to residents. The fire extinguisher is located in the kitchen and was observed fully charged with service date 08/30/2025. Bedrooms: There are a total of four (4) resident bedrooms, two (2) of which are shared. Bedrooms were furnished with beds, nightstands, chairs, appropriate bedding and linens, and sufficient lighting. Bathrooms: There are two (2) bathrooms designated for resident use. One (1) is located in a shared bedroom. Bathrooms were properly supplied with hand soap, toilet paper and paper towels. (Cont. on LIC809-C Hot water temperature was taken from one (1) bathroom at 1:12 p.m. and read between 114.6 degrees Fahrenheit. LPA observed night lights in the hallway leading to the bathroom. Common Areas : These included the living area and dining area. The common areas were properly furnished. The couches and the dining table sits the capacity of the facility and were observed in good repair. The smoke alarms are hired wired and interconnected. A carbon monoxide detectors was observed in the hallway by the bedrooms. Smoke and carbon monoxide detector were tested at 3:25 p.m. and were observed to be functioning properly. Surrounding Grounds : Entry/exits were free of obstruction. The outdoor area was free of hazards and has a covered patio with outdoor furniture. The laundry room leads to the garage and is kept locked and inaccessible to residents in care. Detergents and cleaning products are kept in the laundry room and garage locked. Resident Files : At approximately 1:30 p.m., LPA conducted a file review of six (6) out six (6) resident records to insure compliance of licensing forms. LPA was unable to complete review of resident, staff and facility records. LPA will return to continue with this annual visit at a later date and time. Any deficiencies observed during this visit will be cited on continuation of annual. Administrator designated caregiver to sign today's report. Exit Interview Conducted. A copy of the report issued.