Routine inspection·February 9, 2026

Licensing Program Analyst (LPA) Gabriela Castro and Licensing Program Manager conducted an unannounced required annual visit using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Elyssa Markie, Administrator, and explained the reason for the visit. The facility is licensed to serve six (6) residents, age 60 and over, and is approved to care for up to six (6) bedridden residents. The facility is also approved to retain up to three (3) hospice residents. There was (3) resident under hospice care during inspection. Facility Tour & Observations: Personal Rights postings (LIC 613C and Ombudsman), Complaint Poster (PUB 475), and nondiscrimination notice were observed in a common area. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons were present. Physical Plant The facility is located in a residential neighborhood and is a single-story home consisting of five (5) resident bedrooms, two (2) bathrooms, a living room, kitchen, dining area, attached garage, front yard, and backyard. The attached garage contains two built-in caregiver quarters. LPA observed five (5) resident bedrooms, with one (1) bedroom vacant at the time of the visit. All bedrooms observed contained the required furnishings, including a bed, mattress, linens, dresser, chair, and adequate lighting. Cleaning supplies and other toxic substances were observed to be inaccessible to residents and secured in locked cabinets located in the kitchen and restrooms. Bathrooms were clean and equipped with required grab bars in the showers and near toilets, as well as non-skid mats. (continued on 809C) Hot water temperature measured 110.9°F in Bathroom (1) and 113.2°F in Bathroom (2), which is within the required range of 105°F–120°F. Extra linens and towels were available and stored in hallway cabinets. Smoke and carbon monoxide detectors were tested and found to be operational. A fire extinguisher was observed near the dining room area and medication cabinet. No bodies of water were present on the premises. The backyard contained shaded seating for residents. Passageways and exits were observed to be clear and unobstructed. Food Service Refrigerators/freezers were maintained at proper temperatures (refrigerators maximum of 40 degrees°F and freezer 0-degree ºC ) with sufficient supply of 2-day perishable and 7 days non-perishable food. Fresh produce, proteins, and dry goods were stocked. Knives and cleaning supplies were observed in a locked kitchen cabinet under the sink. Health-Related Services & Records Three (3) resident files were reviewed and were found to contain current required documentation, including Admission Agreements, Pre-Placement Appraisals, signed consents, Needs and Service Plans, Physician’s Reports documenting TB results and ambulatory status, and Resident Rights acknowledgments. Three (3) residents’ medications were reviewed. Medications were observed to be centrally stored in a locked closet located in the living room. During the medication review, LPA observed that Resident 1 (R1) had medications requiring refills that had not yet been obtained. Disaster Preparedness Last fire/earthquake drill was conducted in February 06, 2026, with logs available. LIC 610D Emergency Disaster Plan was available and updated. Emergency supplies (water, food, flashlights, batteries, first aid) were observed. Infection Control Plan was updated. Personnel Records & Training Three (3) staff files were reviewed and included criminal record clearances, CPR/First Aid, required training and TB screenings. Administrator Certificate for Elyssa Markie was valid through September 15, 2026. Insurance Liability insurance was in compliance with an expiration date of June 15, 2026. An exit interview was conducted with the Administrator Elyssa Markie. During the inspection, deficiencies were observed and cited on the attached LIC 809D/809C in accordance with Title 22, Division 6 regulations. A copy of this report, LIC 809D/809C, and appeal rights will be provided via email.