Routine inspection·May 1, 2026

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with staff and explained the reason for the visit.  Administrator Emiliano C Siapno arrived shortly after. LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. LPA inspected the kitchen/food service area at approx. 10:00 a.m.  Knives and sharp objects are stored in a locked box in a  locked drawer in the center of the island. Some cleaning supplies were observed stored inaccessible underneath the sink.  Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time. Office area located next to the kitchen, medication and resident files were observed stored inaccessible to residents in care. At the time of the visit, the common area furniture's were observed to be in good condition. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguishers to be fully charged and newly purchased. The LPA observed six (6)  resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The  resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured in each restroom between 105 - 120 degrees Fahrenheit. LPA observed laundry room in bedroom by entrance way to be locked and inaccessible to residents in care. LPA observed hallway cabinets to store various electronic equipment, flashlights and other supplies for emergency use. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. There is an attached garage observed inaccessible to residents in care. LPA observed garage to store an additional fridge to store extra perishable food. LPA also observed a laundry area, a sufficient supply of clean linen and towels, laundry supplies securely stored, extra incontinent supplies,  PPE , canned goods, emergency food supply as well as additional furniture and medical equipment for facility use. The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed two (2) self-latching gate with clear passageways clear of obstruction. There were no bodies of water over 3ft noted at the time of the visit. LPA observed an RV parked in the backyard. LPA observed it to store supplies for property owner. LPA observed a storage shed  behind a locked gate that stored extra furniture and equipment for facility use. There is shed built in the backyard which is used as an office/staff break room. Records review,  five (5)   records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Four  (4) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were observed to be in order at this time.   No deficiencies were observed during cash resource review. Medication review,  medications for all residents  were observed. All medications were stored properly and were appropriately documented on their respective centrally stored medication and destruction record sheets. No deficiencies were observed during medication review. Infection control / Emergency Disaster plan: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are conducted quarterly; the facility’s last emergency disaster drill was conducted on 03/08/2026.  The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s administrator. Smoke detectors and carbon monoxide detectors were tested, all alarms were functional at the time of the visit. During today’s visit LPA obtained a copy of the facility’s LIC 500 and resident roster. Exit interview conducted and copy of the report was issued.