Routine inspection·October 23, 2025

On October 23, 2025, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with administrator Gladys Cuela and explained the purpose of today’s visit. The facility is licensed to operate for six (6) non-ambulatory of which one (1) may be bedridden bedroom #5 and #6 elderly residents ages 60 and above. The facility is approved for (4) hospice residents. Currently, the facility has (1) resident in hospice care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: six (6) resident's rooms, two (2) common bathrooms, a living area, a dining area, a kitchen, and an outside covered patio are and garage used for storage. LPA and administrator toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 108.6 degree F. A comfortable temperature of 74 degree was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. Evaluation Report Continues LIC 809-C Fire extinguisher were charged, smoke detectors and carbon monoxide were operable. A review of the Medication Administration Record (MAR) was complete and accurate. A landline telephone was in working condition. A review of staff CPR/First Aid training is current. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. The facility has current liability insurance on file effective through 11/8/2025 with policy # PCI38229604-01. The facility is current on Community Care Licensing annual dues. An audit of residents #1-#4 (R1-R4) service files and staff #1-#5 (S1-S5) personnel files revealed to be complete. The facility has the current administrator's certification on file for Gladys Cuela #7016958740 Expiration: 08/30/26. Deficiencies: Staff #5 employed in September 2025 did not have Criminal Clearance Background Transfer. No Criminal Clearance Transfer Request LIC 9182 on file or appears on the Department of Social Services Guardian Background Check System. Technical Advisory Violation issued (see LIC 9102) An exit interview was conducted with Gladys Cuela , and a copy of the report and appeal rights provided. .