Routine inspection·June 19, 2025

On 06/19/2025, Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Edgar Yraheta, Administrative Assistant. The facility is licensed to operate for (6) non-ambulatory of which (1) may be bedridden elderly adults ages 60 and above. The facility is approved for (4) hospice resident. Physical Plant/Structure : The facility is a single-story structure located in a residential neighborhood. It consists of the following: (6) residents' rooms, (4) bathrooms, (1) staff bedroom, a living area, a dining area, a kitchen, an outside shaded seating area, and a garage used for storage. Bedrooms: LPA inspected all 6 bedrooms; 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 s: 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. There was adequate supply of linens available for the residents. Page 1 of 2 Common Rooms: All common areas are clean and free of obstructions. There is adequate seating for the residents in care. Each common area is equipped with furniture that is in good repair. Required Postings: LPA observed all required documents posted throughout the facility. The facility has a working landline telephone. Kitchen LPA observed a 2-day supply of perishable foods, and a 7-day supply of non-perishable foods properly stored, packaged, and labeled. Sharps were locked away and inaccessible to the residents. Safety LPA observed 2 fully charged fire extinguishers last serviced on 5/12/2025. The last emergency drill was conducted on 6/03/25. Medications: LPA observed all centrally stored medications secured All medications were observed in their original packaging. File Review: LPA reviewed 4 resident files and found that ( 4 ) out of ( 4) had the required documents. LPA reviewed 4 staff files and found that ( 4 ) out ( 4 ) had the required documents, training, and certifications. Infection Control LPA observed required infection control signs posted throughout the facility. LPA observed a sanitizing stations in entryway of facility. No citations issue during todays visit Exit interview conducted. Copy of report provided. Page 2 of 2