Routine inspection·November 24, 2025

On 11/24/25, at 11:16AM, Licensing Program Analyst (LPA) Gina Saucedo conducted an unannounced Annual Required visit to this facility. LPA met with Charles Mulenga, Caregiver and the administrator arrived shortly after. LPA asked for the census, staff and resident rosters. KITCHEN: LPA observed that kitchen maintains sufficient food supplies for five (5) residents: seven (7) days of perishable and non-perishable foods. The kitchen was observed to be clean and sanitary. Laundry washer and dryer in hallway storage closet observed to be in good repair. Cleaning detergents were kept locked and inaccessible to residents. There is a supply of canned foods, dried foods, extra water and sufficient emergency food stored in pantry area. Knives/sharps are locked and in the kitchen drawer to the right of the large sink and toxins locked in cabinet underneath large sink. Both observed to be inaccessible to residents. Medication : are stored in a locked file cabinet which were locked and inaccessible to residents. Medications are listed on the centrally stored medication and destruction record log. First Aid kit was found in living area. BEDROOMS: There are six (6) bedrooms designated for residents. All bedrooms were clean, properly furnished and had sufficient lighting. Linen storage observed to have adequate supply of linen and towels. LIC 809C continued LIVING ROOM: LPA observed the living area. Adequate furnishings, sufficient lighting is maintained and was found to be clean with adequate seating for residents. BATHROOMS: There were six (6) bathrooms designated for residents. Each bathroom has grab bars, towels, mats. Water temperature for each restroom was recorded at a range of 112.6-113.5 F. Smoke alarms and carbon monoxide detectors were present and function properly. There is one (1) fire extinguisher attached to kitchen wall was observed to charged. Extinguisher purchased on 3/25/2025. The other fire extinguisher is located at the entrance of the facility on your left-hand side. OUTDOOR AREA: In the backyard, a patio table, umbrella and sufficient number of chairs observed with adequate seating for residents. There is no bodies of water present in the facility grounds. There is no garage to the facility. Staff/Resident Files: LPA reviewed five (5) resident files and three (3) staff files. Disaster drill was conducted in 10/2025. Administration : Personal Rights, Emergency Disaster Plan, Infection Control, Ombudsman, Insurance was up to date with other postings and is displayed properly at the facility on your left hand side. Exit interview conducted and a copy of this report was provided to Administrator with no citation(s) issued.