Routine inspection·July 14, 2025

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an annual inspection. LPA was greeted by Administrator Gladelyn Baingan, who allowed LPA to enter. Staff were present, and everyone was informed the reason of the visit. The current census is (4). Facility license/sketch, rights of resident council, grievance/complaint procedures, emergency disaster plan, resident bill of rights, personal rights, daily menu, COVID signs and procedures was visibly posted. A physical plant tour of the facility inside and outside was conducted with Administrator. The following common areas: dining, kitchen, family, resident bedrooms, and bathrooms were inspected to ensure the facility was in compliance with Title 22 Regulations: Kitchen: LPA observed a Licensing requirement of (7) day nonperishable, and (2) perishable, with (1) extra refrigerator stocked with food located in the garage. Food was labeled and properly stored in a healthy manner. Appliances were functional, clean, and in good repair. Chemicals, medication, household supplies, and knives, were secured and locked in kitchen cabinets and garage area. Dining/family: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for resident’s comfort. Bedrooms : The facility has (4) bedrooms; with (1) room shared. All bedrooms were properly furnished and supplied with appropriate bedding and linens. Rooms observed to have bedspreads, sheets, pillowcase, mattress pad, and blankets, and were in good repair. There were sufficient linens and towels observed, as well as hygiene products available for residents. Bathrooms: There are (2); both were clean, with soap and towels, grab bars, and non-skid mats, and shower chairs. Hot water measured at 110.5 degrees Fahrenheit. Surrounding Grounds : There were no visible hazards, passageways were free from obstruction, and gates were easily accessible. Smoke alarms and carbon monoxide detectors were tested and operating properly. Fire extinguisher fully charged. First aid kit observed. All exit doors have alarms; all were operating. Record review: A complete record review of staff, residents, and medication were conducted. Resident # 1 (R1) needs and service plan was not current and dated July 2019, no following assessment has been documented since R1 was admitted to the facility. A technical violation was issued. Staff records were current, including training and medication documents. Resident and medication records were reviewed with no errors. Technical violation was issued, exit interview conducted, and copy of report provided.