Routine inspection·February 21, 2026

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility. LPA was greeted by staff and disclosed the purpose of the visit. The administrator not present and house manager was contacted and arrived later. LPA conducted a tour of the physical plant at approximately 10:10 am to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. Common areas were observed for the ability to safely serve the needs of the residents. These included the kitchen and dining/living room combination. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be furnished appropriately with adequate seating for residents. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the two (2) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with meats and frozen vegetables. Sharps are stored in locked kitchen drawer. The residents’ medications and first aid kit were stored in locked hall closet next to main bathroom and were observed to be locked and inaccessible to residents. There is one (1) fire extinguisher attached to the dining room wall and observed to be charged. Laundry room is located in garage which is locked and inaccessible to residents. The appliances observed to be functional. Toxins stored in garage and in hall closet next to staff office and were observed to be locked (cont. from 9099) and inaccessible to residents. The facility has a total of four (4) bedrooms and two (3) bathrooms, no room is designated for staff. 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, mattress pads, and blankets. LPA observed a supply of linens in hall closet. Each bathroom had the following items available: hand soap, paper towels, and trash cans. The hot water temperature was measured in bathrooms to ensure it was within the required range for residents’ comfort and safety. The water temperature range was measured at 119.5 and 120.0-degrees Fahrenheit for the bathrooms. The backyard of the facility has a patio and sufficient furniture to accommodate residents. Attached Garage: has laundry appliances and used for storage of equipment and furniture, however garage is heated and has wood flooring and traces of insulation on main large door. There is no body of water in the facility. Storage shed used for storage in backyard observed to be locked and inaccessible to residents. Smoke detectors/carbon monoxide detector were tested and operable at time of visit. Facility grounds were free of hazards At approximately 11:20 am, LPA Smith reviewed files for the two (2) residents and four (4) staff. Resident and staff files contained appropriate documentation. Uncleared adult at facility during licensing visit and trash cans with lids to replace other trash can in bathroom. Deficiencies cited on 809D Exit Interview Conducted / A Copy of the Report Issued