Routine inspection·January 20, 2026

On 01/20/26, 2:05pm, Licensing Program Analyst (LPA) Raymond Comer conducted an unannounced Annual visit to this facility. An entry to the facility was allowed by the estate manager working at the property. At the time of this visit there were no residents in the facility. LPA spoke with the Administrator over the phone and was informed that the facility has had no residents since January 2025. However, the licensee does not want to close facility. The reason of this visit was discussed over the phone. Facility is licensed as a single-story residence, approved for six (6) non-Ambulatory, with one (1) bedridden. Hospice waiver for six (6). Facility has four (4) resident bedrooms, and two (2) bathrooms. At 2:25pm LPA conducted a tour of the physical plant and observed the following: Physical plant was inspected for cleanliness and condition. Facility’s main door is the primary entry/exit access. Alternative exits are located in all bedrooms. Visitor sign-in sheet, hand sanitizer, gloves and masks are available. Room temperature is comfortable; wall thermostat displays a setting of 75.0°F. within the required range. An approved Mitigation and Infection Control plan is on file. Hand washing, coughing etiquette, and other necessary signage are prominently displayed throughout the facility. Required postings observed to be current. Disaster drills were last conducted on 12/2024. [LIC 809C]-Continued--- Kitchen: At 2:25pm, LPA observed kitchen as clean, equipped with a functional stove, refrigerator, with adequate supply of perishables and non-perishable food. Open pantry space stores dry food, condiments, and can goods. Emergency food is stored in a kitchen cabinets . Food is observed as properly labeled and stored. Kitchen cabinets store dishes, plastic, paper goods and utensils. Knives/Sharps are stored in a locked top drawer inaccessible to residents. No pesticides, nor toxins observed. Medications are stored in a secured and locked cabinet located in the living room. A stocked first aid kit and manual was observed atop the med cart.i Laundry LPA observed laundry room located in outside patio area. Laundry space observed to be clean and clear from obstructions. Soaps and other cleaning agents are stored and inaccessible to residents. LPA observed a storage cabinet containing towels, clean linen and blankets appearing sufficient for residents. Commons: LPA observed all common areas of the facility, including the living room and dining room. LPA observed common areas to be clean and organized. Living room is supplied with sitting area, television, stored games, and reading materials. Fireplace in the living room area is screened, preventing access. No fireplace tools present. Furniture and fixtures are clean and good condition. Facility telephone is observed as operational. Bedrooms: Bedrooms are clean with sufficient lighting, properly furnished with sufficient closet space, bedding, linens, and adequate furnishings. Bathrooms were observed to be clean and sanitary with necessary supplies and required safety fixtures (grab bars, anti-slip floor stripping). Hand towels and washcloths are not shared. Hot water temperature measured at 110.0°F. Within the required range. Outdoor (backyard) area observed to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. Backyard contains a swimming pool whose perimeter is fenced. Entry gate secured and locked, inaccessible to residents. [LIC 809C]-Continued--- Outdoor (backyard) area observed to have a shaded patio, with table with sufficient seating for the residents. Outdoor furniture observed to be in good condition. Backyard contains a swimming pool whose perimeter is fenced. Entry gate secured and locked, inaccessible to residents. Facility records were not reviewed as the facility has no residents since January 2025 and no staff is working in the facility. Exit interview was completed over the phone and the final report will be sent to the Administrator for manual signature.