Routine inspection·February 24, 2026

Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced annual required 1-year visit. . LPA was met by Evangelina Reyes, Co-Administrator and Administrator Amanda Palomino arrived a short time later and also assisted with the visit. LPA explained the purpose of the visit. The facility is licensed to serve six (6) residents over the age of 60, of which six (6) may be non-ambulatory and has a hospice waiver approved for four (4). One (1) out of the six (6) residents in care is currently on hospice care. LPA OBSERVATIONS: 1. Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting the clients. Staff are cleaning and disinfecting each shift for high touched surface area. Facility has sufficient PPE supplies and but does have an Infection Control Plan. Physical Plant: The facility is a single-story dwelling located in a residential neighborhood and consists of three (3) resident bedrooms, one (1) staff bedroom, two (2) shared bathrooms, kitchen, dining room, living room, detached garage, front yard, and backyard. LPA Lopez observed auditory device on entry of door to be operational, sliding door and exits. LPA Lopez observed knives and sharps located in kitchen cabinet, to be inaccessible to residents in care. Kitchen appliances were observed to be clean and in working order. LPA observed staff preparing lunch for residents during visit. Monitor was observed to be mounted near sink area and accessible to residents, staff, and visitors. Water temperature in two (2) resident bathrooms was within 107.1 -107.4 degrees F. which is within range. Bathrooms were observed to be very clean and well stocked. LPA observed signs promoting proper hand-washing etiquette. ( See 809-C for continuation). (continued from 809) LPA observed all three (3) resident bedrooms to contain required furnishings, lighting, and linens, towels, and hygiene products. LPA observed detergents and disinfectants to be inaccessible to residents in care. LPA Lopez observed two (2) emergency food buckets in laundry cabinet. Dining room was observed to be clean and contained one table with plenty of seating. Yard was observed to be well maintained and no hazards were observed. Plenty of shade and seating were observed. 3. Operational Requirements : The facility maintains a fire clearance approved by the fire department. The facility has shaded area with table and chairs for residents to utilize for outdoor area. The last fire/disaster drill was conducted on 09/01/2025. LPA reviewed and verified facility liability insurance which expires on 03/16/2026 4. Staffing: The facility has sufficient staff, and the night supervision staff did receive planned emergency training. 5. Personnel Record-Training: All the staff files are maintained at the facility. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. The administrator Amanda Palomino certificate expires on 06/15/2026. All the direct care staff received Medication Management Training. All first aid training certificates for staff are current. 6. Resident Records-Incident Reports: Resident files are maintained at the facility and have the following documents in their files - Admission Agreements, Identification & Emergency Information, current Physician's Report, Pre-admission appraisal/Appraisal Needs & Services Plan. 7. Resident Rights-Information: The Complaint, ombudsman and residents personal rights are posted by the main entry. Visiting hours were posted at facility. 8. Planned Activities: Facility has sufficient space to accommodate indoor and outdoor activities. There are sufficient supplies and equipment to meet resident's physical capability. LPA observed staff assisting in activities for residents during visit. (continued on 809C) (continued from 809C) 9. Food Service: The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. The food is properly stored in the refrigerator (clean, labeled and well maintained). Pesticides and cleaning supplies are kept away from the food preparation areas. Kitchen is kept clean and free from rodents. 10. Incidental Medical & Dental: The medications are centrally stored in original containers. During the visit today, LPA reviewed four (4) residents' medication files, and all medications are administered according to Doctor’s orders. 11. Disaster Preparedness: The facility has an Emergency Disaster and Mass Casualty Plan containing emergency evacuation, storage and preservation of medications, The facility conducts emergency drill on a quarterly basis for all staff and residents. 12. Residents with Special Health Needs: No residents have prohibited health conditions. No deficiencies observed during today’s visit. Exit interview conducted and copy of report and appeal rights were provided.