Routine inspection·June 26, 2025

On 06/26/25 Licensing Program Analyst (LPA) Mario Leon conducted an annual required visit at the facility, using the CARE tool. LPA was met by staff one, Gregg MacEllven - Administrator (S1), and the purpose of today's visit has been explained. The facility is licensed to serve six (6) elderly adults ages 60 and above, of which six (6) may be non-ambulatory and bedridden. The facility has an approved hospice waiver for six (6) residents. The facility is currently hosting four (4) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: six (6) bedrooms, three (3) full bathroom with bathing tub, surveillance camera system, ramp alongside back of facility, laundry room/office, living room, fireplace, dining room, shaded back yard with ramp on back porch, front yard with shaded porch, and an attached two-car garage. LPA and S1 toured the physical plant. LPA inspected a total of (6) bedrooms and (3) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were checked and there was no mold or mildew present, water temperature ranged up to 142.4°F, outside Title 22 regulations. Please see LIC809-D. Smoke and carbon monoxide detectors were in operable condition. Smoke detectors are fully charged, as of 05/12/25. The facility's indoor temperature was measured at a comfortable 73.5°F. LPA observed at least 8" square feet (8sqft) for resident personal hygiene supplies, including soap, toothpaste, toilet paper, and comb. There is a sufficient supply of clean linens to permit weekly changing or more of client top sheets, bottom sheets, bedspreads, blankets, pillowcases, mattress covers, bath towels, hand towels, and washcloths. Dining room is adjacent to kitchen, with seating up to six (6) individuals. Refrigerator(s) and freezer(s) are clean and LPA observed at least two (2) days of perishable foods and a seven (7) day supply of non-perishable food, all stored properly. LPA observed tableware, dishes, and utensils. Report continues, see LIC809-C. Facility Liability insurance is active, set to expire on 12/12/25. LPA observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. During today's visit, there have been one deficiency cited. Please see LIC809-D. An exit interview was held with staff one, Gregg MacEllven (S1) - Administrator, and a copy of the facilities' appeal rights, one (1) deficiency cited and this report.