Routine inspection·January 30, 2025

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Hennessy Hernandez, Assistant Administrator and the purpose of the visit was discussed. Facility is licensed to serve 6 non- ambulatory residents age 60 and over of which (1) maybe bedridden. Room #3 is designated for a bedridden resident. The facility has an approved hospice waiver for 6 residents. One (1) of the residents is diagnosed with dementia. One (1) resident is receiving home health services. No residents are receiving hospice care services. The facility does not handle any of the residents’ money. This home is a single story home with a back home in the back. The front house consists of the following: (4) resident bedrooms, (2) Full bathroom, 1 half restroom, Activity room, living room, kitchen with dining area, laundry room (located in the rear of the home), beauty salon room and an outdoor shaded patio area. The back home consists of the following: (2) resident restrooms, (1) full bathroom, office. LPA toured the Resident bedrooms and observed that they had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 110.1F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. During todays visit LPA did not observe any deficiencies. Exit interview conducted with Hennessy Hernandez Assistant Administrator. A copy of this report was provided at time of visit.