Routine inspection·January 20, 2026

At 12:30 PM, Licensing Program Analyst (LPA) Huma Rahimi conducted an unannounced annual Inspection visit to the above listed facility. LPA met with the staff Irma Chavezdefranco and the staff contacted the consultant, Victoria Hayratepyan who informed LPA that the facility is currently in the process of change of ownership. LPA explained the reason for the visit and LPA was informed that the current owner/Administrator will be informed to conduct today's annual inspection. LPA contacted the Administrator via telephone and explained the reason for the visit. LPA was informed that the Administrator is unable to come and also does not have a designee to conduct today's visit. LPA and staff conducted the physical plant tour of the facility and observed the following: KITCHEN: The kitchen is equipped with a refrigerator, microwave, stove/oven and dishwasher. LPA observed adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). LPA observed two knives on the kitchen counter unlocked and accessible to one (1) resident in care. LPA also observed a pair of scissors on a magnet holder on the fridge in the kitchen unlocked and accessible. An additional knife was observed in the kitchen drawer locked; however, the magnetic key was observed accessible on the fridge in the kitchen. LPA observed that all cleaning supplies unlocked under the sink cabinet in the kitchen. LPA observed a Fire Extinguisher and was last purchased on 12/001/2025. It was observed hanging on the wall in the kitchen. MEDICATION ROOM: LPA observed centrally stored medication locked standing cabinet in the kitchen. Residents and staff files were observed locked in the living room. Continue on LIC 809C BEDROOMS: There are total of five (5) bedrooms of which bedroom #4 will be used for staff. The facility also has an extra space for an office. Four (4) bedrooms are designated for resident’s use. Bedrooms number three (3) and five (5) are shared. All bedrooms are furnished with beds, dressers and required bedding and linen. The bedrooms have sufficient closet space and have sufficient lighting. Auditory alarms were tested and observed to be operational. The facility has a live-in staff. BATHROOMS: There are three (3) bathrooms at the facility. L PA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. LPA observed appropriate grab bar and had non-skid mat The water temperature was noted at 118.2°. LAUNDRY ROOM: The laundry room is located in the kitchen knot area. LPA observed all laundry detergents unlocked in a cabinet next to the washer and dryer. The washer/dryer appear to be in good working condition. COMMON AREAS: The facility maintains a comfortable temperature at 73°F. The living room and dining area appeared clean and were properly furnished and has a television. No obstructions and or tripping hazards throughout the facility. LPA observed a working telephone for the facility. SURROUNDING GROUNDS: The facility has sufficient backyard space. LPA did observe appropriate outdoor furniture in the backyard of the facility that can accommodate six (6) residents, LPA observe a covered shaded area for residents . There is no swimming pool or any bodies of water at the facility. The exit was free of any obstruction or hazard. Garage/Storage: LPA observed two (2) storage areas and both were locked and inaccessible. The garage will be used as a storage for extra supplies and will be kept locked. Continue on LIC 809C SMOKE DETECTORS/CARBON MONOXIDE. Smoke detectors and carbon monoxide were located throughout the facility. They were tested and observed to be operational. Upon request of one (1) resident and one (1) staff facility files/records, the Administrator informed LPA that no files are available for review/audit. LPA was not provided with any facility files for one (1) resident and one (1) staff. Additionally, during today's visit, LPA observed that the staff engaged in a verbal argument with one (1) resident. The resident informed LPA that they are having communication issues for their care needs with the staff due to the language barrier; therefore, the staff retaliated of why the resident informed LPA of the issue and it was escalated to a verbal argument between the staff and the resident. Administrative: LPA collected Certificate of Liability Insurance, and LIC500. Deficiencies issued during today's visit. Appeal rights explained and exit interview conducted. Copy of this report signed and delivered.