Routine inspection·August 1, 2025

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced annual visit on 8/01/2025 and was greeted by the Administrator Erwin Estrella and two staff members. LPA stated the purpose of the facility was to conduct an annual inspection. Staff confirmed there are six residents living at the facility. The facility is licensed for six non-ambulatory residents; three of which can be bedridden. The facility has been approved for six hospice residents. LPA and the staff member toured the facility at 10:00 am until 10:50 am. Common Areas – LPA observed the living room contained comfortable seating along with a television. The dining room area contained a dining room table and chairs. Kitchen – LPA observed the kitchen was neat and clean. The knives were securely locked in a kitchen cabinet. The facility contained a two day supply of perishable food and a seven day supply of non-perishable food items. A fire extinguisher is also located in the kitchen. The resident medications along with the first aid kit were locked in a kitchen cabinet. Resident Bedrooms - There are five bedrooms in the home which are furnished with a bed, linens, night stand, chest of drawers and a closet. Hallway Closets – LPA observed two hallway closets. Closet one is used for linens. Closet two was locked and contained hygiene, cleaning solutions and PPE supplies. Continued on 809-C Bathrooms - LPA observed the two bathrooms contained hand soap, paper towels, grab bars, and slip resistant mat. Water Temperature - LPA tested the water temperature at 10:55 am, which was 110 degrees F. Laundry Room – LPA observed the room was locked and contained washer, dryer and laundry detergent. Smoke/Carbon Monoxide Detectors – The detectors were tested at 10:50 am and were operable. Backyard - LPA observed the backyard which has a shaded area with seating. Garage - LPA observed the garage was locked. An additional refrigerator was located in the garage and contained additional food. The emergency water was stored in the garage. There were no safety issues to report. Delayed Egress Devices - LPA observed delayed egress devices on all exit doors and all devices were properly working. LPA reviewed client records at 11:05 am until 11:30 am. LPA reviewed staff records at 11:35 am until 12:00 pm. LPA reviewed the residents’ medications at 12:20 pm until 12:40 pm. There are no deficiencies to report. Exit interview was conducted and a copy of the signed report was sent via email due to technical difficulties.