Routine inspection·February 11, 2026

On 02/11/26, Licensing Program Analyst (LPA) Elvira Gonzalez conducted an unannounced annual inspection visit to this facility. LPA met with staff, Alfian Fnu, and explained the purpose of the visit. LPA was granted entry to the facility. Officer manager, Naomi Leibov later joined LPA Gonzalez for the inspection visit. The facility is licensed to serve six (6) non-ambulatory residents, of which one (1) may be bedridden. The facility has an approved hospice waiver for three (3). Currently there are five (5) residents in care. The facility is a single-story structure located in a residential neighborhood and consists of the following: three (3) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, living room, kitchen, dining room, laundry room and an outdoor shaded area in the front of the home. LPA Gonzalez toured the physical plant inside and out. There were no bodies of water or obstructions on the premises. All rooms were inspected; bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Bathrooms were operational and observed to be within Title 22 regulations. The facility was observed to be appropriately furnished at the time of visit. A comfortable temperature was maintained in the facility. The kitchen was inspected and observed to be within Title 22 regulations. Sufficient perishable and non-perishable food supply was maintained adequately. All sharps, toxins, cleaning solutions, and hazardous items, were securely locked and inaccessible to residents. A review of Medication Administration Records was maintained in order and accurate. Continued on LIC9099-C The facility has a landline telephone on-site in working condition. Smoke detectors and carbon monoxide detectors were operational and working properly. Fire extinguishers were fully charged. A stocked First Aid kit along with manual was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents. There are sanitizing stations in common areas and restrooms. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The facility has an approved CCLD Mitigation Plan. The facility’s last fire drill was conducted on 01/26/26. the facility’s annual fees are current. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of Report and Appeal Rights was provided..