Routine inspection·May 14, 2025

On 05/14/2025 , Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Licensee/Administrator Richard Delarosa. LPA explained the purpose of the visit. Facility is licensed to serve a total of 6 adults ages 55 and above, of which 5 may be non-ambulatory residents and 1 may be bedridden. A total of 5 residents are currently residing in this facility. The Annual Licensing Fees are current. Structure/physical plant: The facility is a one-story house located in a residential street. The home consists of 5 resident bedrooms, 3 full bathrooms, 1 toilet room, 1 office room, 1 staff bedroom, 1 laundry room, 1 living/dining/kitchen/tv room area, 1 attached 3 car garage, and 1 outside patio area with shaded seating. LPA and Licensee Administrator tour the facility inside and out. There were no bodies of water observed on the premises. The patio furniture is under a shaded area and accessible to residents. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. Kitchen: LPA toured the kitchen area and observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Knives and toxins were kept in locked storage cabinet. page 1 of 3 Bedrooms/Bathrooms: All 5 bedrooms were inspected. The mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries accessible to residents. LPA tested hot water temperature, and it measured between 105 and 120 degrees Fahrenheit. This facility provides residents with hygiene products such as feminine napkins, soap, toilet paper, toothbrush, toothpaste, and comb. Medications: LPA observed that medications were safe, locked, and inaccessible. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. Safety: LPA inspected the First Aid kit and found it contained an ample supply of required items: Scissors, tweezers, gauze, disinfectant wipes, band aids. LPA observed all exits to be clear and easily accessible. All toxins locked and inaccessible to residents in care. Smoke and carbon monoxide detectors were operational. There is a fire extinguisher near the kitchen area, and it was last serviced on 1/27/25. The last emergency drill was conducted on 5/1/25. There is a landline telephone and a videoconferencing device dedicated for client use in the front desk. Page 2 of 3 Files/postings: LPA reviewed 5 resident files and found that (5 ) out of (5 ) contained all the necessary documentation. LPA reviewed 4 staff files and found that (4) out of (4) contained the required documentation, certification, and training. Liability Insurance expires on 7/13/25 There were no deficiencies cited during today’s visit. An exit interview was conducted with Licensee/Administrator Richard Delarosa and a copy of this report was provided. Page 3 of 3