Routine inspection·September 19, 2025

On 09/19/25, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with House Manager Paige Esquivel. LPA explained the purpose of today’s visit. The facility is licensed for a Residential Care for the Elderly (RCFE) and serves age range 60 and over, approved for six (6) non-ambulatory, of which five (5) may be bedridden in rooms #1, #3 and #4 only, hospice waiver approved for five (5). Currently, there are no residents on hospice care. The facility is a single-story structure located in a residential neighborhood. The facility has 4 resident bedrooms, 2 shared bedrooms, 2 private bedroom, each shared room has a half bath ½, living room/dining room and kitchen. LPA toured the physical plant. There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the resident's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 106.7 degrees F. A comfortable temperature of 73 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene and sharps objects were stored and not accessible to residents. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Two fire extinguishers were fully charged. A review of the Medication Records Administration (MAR) was observed to be maintained in order and complete. (Evaluation Report continues LIC 809-C) During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted. LPA observed a working landline phone was operational. The last fire drill was conducted on 08/25/25. The facility had operational smoke and carbon monoxide in bedrooms and common areas. The facility has current liability insurance with policy # BSCDMRC0107156725AL effective 08/06/25 through 08/06/26. The facility is current on CCL license annual dues. An audit of resident #1-#5 (R1-R5) service files and staff #1-#5 (S1-S5) personnel files revealed to be complete. The facility has the current administrator's certification for Nicolas Wells Administrator's Certificate for #7020639740. No deficiencies during this inspection visit. An exit interview was conducted with Paige Esquivel, and a copy of the report was provided.