Routine inspection·January 14, 2026

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced Required - 1 Year Annual visit with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, LPA Bunker conducted a risk assessment. Based on the evaluation, the facility is clear of COVID-19 infection. LPA Bunker met with Administrator Precious Dennis and explained the purpose of today's annual inspection. LPA verified that the facility has an approved Mitigation Plan Report and Infection Control Report. There are currently six (6), Residential Care Facility for the Elderly (RCFE) residents in placement. The facility's annual fees are up to date. The following 12 Domains will be observed and reviewed: Infection Control, Operational Requirements, Physical Plant & Environmental Safety, Staffing, Personnel Records-Training/Staff Training, Resident Rights-Information, Planned Activities, Food Service, Incidental Medical and Dental, Resident Records/Incident Reports, Disaster Preparedness, and Resident with Special Health Needs. "LPA Bunker will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services' facility inspections." The facility is a single-story family home located in a residential neighborhood. Administrator Precious and LPA Bunker toured the facility, which consisted of the following: a living room, four bedrooms, two bathrooms, one half-bathroom, a dining room, a kitchen, a laundry area, an office, a detached garage, and an indoor/outdoor activity area. There is a shaded outdoor space furnished with patio furniture, including tables and chairs. Bedrooms #1-4, and bathrooms #1-2 are designated for the residents. See continued LIC809-C page 2. Continued LIC809-C page 2 LPA Bunker observed the facility’s infection control practices, which included screening protocols for residents and visitors, the availability of hand sanitizer, a visitor log, and the use of thermometers at the facility entrance. Logs documenting daily COVID-19 screenings and temperature checks for both residents and staff were available and up to date. Personal Protective Equipment (PPE) supplies were readily accessible to staff, and an additional supply of PPE was also observed. Additionally, sufficient liquid soap, paper products, cleaning supplies, and disinfectants were available. Documents are posted as required on the bulletin board located in the kitchen and hallway. The following Title 22-regulated areas were audited and found to be in compliance: • Telephones: Facility telephones are operational. • Bedrooms: All bedrooms meet the required standards for furniture, safety, privacy, and comfort. An adequate supply of linens is available. • Bathrooms: Bathrooms are clean, fully operational, and equipped with non-skid surface mats to ensure safety and privacy. • Kitchen and Food Service: The kitchen is adequately equipped for food preparation and service. A review of food supplies confirmed an ample stock of both perishable and nonperishable items, stored appropriately. • Medication Storage and Management: Medications are centrally stored in a locked cabinet in the kitchen. Records are current, ensuring proper documentation and secure storage. • Common Areas: The living room, dining room, and other shared spaces are well-maintained, free of hazards, and meet cleanliness standards essential for resident safety and well-being. • Safety Equipment and Measures: The facility is equipped with a fully stocked first aid kit and manual, functional smoke and carbon monoxide detectors, and properly charged fire extinguishers. Hot water temperature was measured at 110°F, within the acceptable range of 105–120°F. • Emergency Preparedness: All exit doors are in compliance. Bedroom windows are fitted with sliding locks that do not use thumbscrews. A fire drill was conducted on January 04, 2026. • Environmental Safety: The yard is free of debris and hazards. Trash cans are covered, and there are no firearms or bodies of water on the premises. Hazardous items are stored securely and remain inaccessible to clients. See continued LIC809-C page 3. Continued LIC809-C page 3. • Staff Training: Staff have received training on dependent adult and elder abuse reporting. • Administrative Compliance: The Administrator’s Certificate is current, with an expiration date of January 03, 2028. Compliance with HIV/TB requirements has been verified. LPA Bunker provided Administrator Precious Dennis with a copy of the facility evaluation report. There were no deficiencies cited. Exit interview conducted.