Routine inspection·June 27, 2025

On 06/27/25 Licensing Program Analsyt (LPA) Mario Leon conducted an unannounced annual required visit at the facility using the CARE tool and was met by staff one, Jeanette Jneid - House Manager (S1) and the purpose of the visit was explained. The facility is licensed to serve (6) elderly residents ages 60 and over. The fire clearance is approved for (2) ambulatory and (4) non-ambulatory, of which (4) may be bedridden. The facility is licensed for all six (6) residents to receive hospice care. Currently, the facility is hosting four (4) residents. The facility is a one-story facility, located in a residential neighborhood, which consist of the following: six (6) resident rooms, one (1) staff room, three (3) restrooms, a kitchen, a dining room, a living room, a game room, one (1) covered fireplace, an attached two-car garage, a shaded ramped front porch and a large patio in the back yard with an exit ramp from the dining room and seating for up to eight (8). During LPA's tour, the kitchen was inspected and LPA observed at least two-days of perishable food and seven-days of non-perishable foods. The water temperature throughout the facility was measured within Title 22 regulation. Each resident room contained at least 8 square feet (8SQFT) of personal storage, a lamp, a table and chair. The living areas are clean, bathrooms are clean and operational. The first aid kit is fully stocked with a manual and LPA observed the telephone in working condition. LPA requested staff to test the smoke and carbon monoxide detectors. LPA and S1 verified all are in working condition and remain in compliance. The fire extinguisher is fully charged, last inspected on 08/06/25. Four (4) resident medications were centrally stored, and properly locked in the kitchen cabinet inaccessible to residents in care and records are current, adequate lights and linen supply were observed, fire/emergency drill conducted on 05/10/25. No firearms are located on the premises, all exit doors were clear and in compliance, covered trash cans were observed throughout the facility, and no bodies of water were present. Hazardous items are inaccessible to clients, the yard is free of debris and hazards. Report continues, please see LIC809-C. During today's visit, there have been zero (0) deficiencies cited. An exit interview was held with staff one, Jeanette Jneid - House Manager (S1), and a copy of this report has been provided.