Routine inspection·October 9, 2025

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility 10:35 am. LPA was greeted by the staff and disclosed the purpose of the visit. The administrator was contacted and arrived later. LPA conducted a tour of the physical plant to ensure there are no health and safety hazards, and the facility is following Title 22 Regulations. Common areas, which include the kitchen and the combined living and dining room, were evaluated for their ability to safely meet residents' needs. These spaces were inspected for cleanliness, and furniture was assessed for functionality and condition. All common areas were found to be clean, sanitary, and furnished with seating sufficient to accommodate residents comfortably. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the five (5) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with frozen foods. The resident medications are locked in standalone cabinet and observed to be locked and inaccessible to residents. There is one (1) fire extinguisher located in living room attached to wall. Fire extinguisher observed to be charged. Laundry room is located in separated room at side of kitchen. The appliances observed to be functional. The locked cabinets in laundry room store toxins and cabinets in laundry area observed to be locked and inaccessible to residents. The facility has a total of three (3) bedrooms and two (2) bathrooms for residents in care. The residents’ bedrooms were properly furnished with at least one chair, nightstand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, and blankets. Main bathroom has the following items available: hand soap, paper towels, and trash cans. The hot water temperature was measured for the bathroom to ensure it is within the required range for residents’ comfort and safety. The water temperature range was 117.0 -degrees Fahrenheit. LPA Smith observed sink in 2 nd bathroom removed. Backyard has the following: Table and chairs, and small L shape couch. Patio furniture was observed to be in good repair with the exception of the L shaped couch. Couch worn with large cracks, tears and white exposed filling. Administrator/staff states will have couch removed. Attached Garage: Used for storage/PPEs carbon monoxide and smoke detectors were tested and operable at time of visit. Facility grounds were free of hazards. However, store shopping carts and bags of recycling were observed. Items will be removed. At approximately 01:20 pm, LPA reviewed five (5) resident files and three (3) random staff files. Resident files included admissions agreements and needs and services assessments. Staff files had the appropriate training courses to include CPR and first aid. Deficiencies will be addressed on case management visit. Exit Interview Conducted /Copy of the Report Issued.