Routine inspection·March 17, 2026

On 03/17/2026 Licensing Program Analyst (LPA) Lorena Casillas conducted an announced annual visit to this facility. LPA arrived at 9:30 am, however, there was no one at the facility. LPA called and spoke to Administrator Fernando DeGuzman who stated that they were on their way to the facility. Administrator arrived shortly after. LPA spoke to Administrator and explained the reason for the visit. Entrance interview conducted. Infection Control and Emergency Preparedness Plan: LPA reviewed facility Infection Control Plan and Emergency Preparedness Plan to make sure protocols are being reviewed and/or updated. Plans were discussed and updated. At 11:30 am LPA began the facility tour with the Administrator and the following was observed. The facility has no residents currently living in the home therefore the tool kit was not used during this visit. The facility has a fire clearance for five (5) non-ambulatory residents and one (1) bedridden resident. The facility has six (6) approved hospice waivers. Common Areas: LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 71°F. The smoke detectors and carbon monoxide detectors were tested and observed to be operational. Bedrooms: There are three (3) bedrooms for resident use, which contain beds, a mattress on each bed, linens, nightstand, lamp, chair, chest of drawers, and a closet. All window screens were in good repair. Continued on LIC809-C Kitchen: The facility has a seven-day supply of non-perishable foods and will have a two-day supply of perishable foods when residents are acquired. There are two (2) fire extinguishers, one is located in the kitchen and the other in a hallway, both were full and last purchased on 02/20/26. Appliances in the kitchen appeared to be functional. The medication will be locked in a medication cabinet which is stored on the kitchen counter. The knives are located in a locked kitchen drawer. The kitchen appeared to be clean and clear of clutter and free of pests. Bathrooms: There are two (2) bathrooms that are equipped with hand soap, paper towels, grab bars, slip resistant mats and trash cans with lids. The water temperature was tested at 12:00 pm and was within regulation at 112°F. Laundry/Garage: The washer and dryer were in the garage and appeared to be in good repair. There is a hallway closet that was locked and contained cleaning solutions. A hallway cabinet contained linens and personal hygiene items. LPA observed additional stored items in the garage. Surrounding Grounds: The backyard contained comfortable seating. The side gate leading from the backyard to the front yard was not locked. Passageways were clear of obstructions. LPA observed door alarms throughout the facility, and they were observed to be functional. Resident & Staff files: No current residents or staff, files were not reviewed. Resident & Staff interviews: No interviews conducted as there are no residents or staff. Administrative: All fees are current. No citations issued. Exit interview conducted. Copy of report provided to Administrator.