Routine inspection·May 19, 2025

On 05/19/25 at 11:07AM, Licensing Program Analyst (LPA) Gina Saucedo, arrived to conduct an unannounced, annual inspection at the facility. Upon arrival, LPA Saucedo met with caregiver Anabelle Pascua and disclosed the purpose of the visit. Thresiamma Mathew the licensee arrived shortly after. LPA asked for the census, resident, and staff files. A physical tour was conducted at 11:25 AM and observed the following: The Kitchen area was toured, and LPA observed there to be sufficient seven (7) day suppl y of non-perishable foods and perishable food for all residents. There is one (1) refrigerator and one (1) pantry area with extra food. The kitchen area was clean at the time of the tour. Under the kitchen sink the knives and chemicals are kept locked and inaccessible to the residents. On your right-hand side of the kitchen the fire extinguisher is located fully charged with an expiration date of April 2026. Outside/Backyard: The outside/backyard has furniture for the residents with proper seating. The facility does has a signal system. The facility does not have a pool or any bodies of water. The outside/backyard can be accessed from the dining/living room area and hallway area. There is two (2) sheds in the backyard with resident property and extra wheelchairs and bedding. The washer and dryer are located outside in the backyard. By the washer and dryer there are two (2) doors where there is access to one (1) storage area and one (1) office. LIC 809C-continued Bedrooms: There are seven (7) bedrooms and four (4) bathrooms. Two (2) of the seven (7) bedrooms have private bathrooms. One (1) of the seven (7) bedrooms is used as a staff room. There are six (6) resident's rooms, one (1) is currently vacant. All bedrooms and bathrooms were toured and were properly furnished and have appropriate bedding, linens, toiletry, and lightning. The bathrooms have proper toiletry, grab bars and non-skid mats. The bathroom temperatures of the water are within regulations reading at 117-118-degree Fahrenheit. There is extra linen in the hallway. The medication is locked and inaccessible to the residents in the hallway on the top shelf. The first aid is kept under the medication shelf also in the hallway. The dining/living room area has enough seating for the residents and the staff. The dining room area has a television, internet access and a telephone. The house temperature is at 72-degree Fahrenheit. There are several smoke detectors/carbon monoxides (dual) in the dining/living area that are operable. Administrative: At the entrance of the facility on your right-hand side there is door with extra PPE items, administrator License certificate, Yes, Emergency/Disaster Plan, Ombudsman, Home Rules and Rights of Individuals, Theft and Loss Policy, Emergency Contacts and the surety bond is updated and expires 09/2025. An exit interview was conducted, no citation(s) were issued, and a copy of this report was given to the administrator.