Routine inspection·January 26, 2026

On January 26, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator (AD) Michael Adams was notified via telephone but was unable to assist with today's inspection. LPA observed that Michael Adams does not have a valid Administrator certificate on file, and that there is no pending application at this time. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has a hospice waiver for two. The facility is a single-story home with three resident bedrooms, two of which are shared, one staff room, two resident bathrooms, a living room, a dining room, a kitchen, and an attached three car garage. LPA accompanied by a care giving staff conducted a tour of the interior portion of the facility. On today's visit, LPA observed four residents in care and two staff present. LPA observed residents relaxing in the living room and in their respective bedrooms. LPA observed the See Something, Say Something poster (PUB 475) mounted on a wall by the entryway of the facility. LPA inspected all three resident bedrooms, and they were observed to be free of any hazards. LPA observed the resident bedrooms had the required furnishings of a bed, a chair, a chest of drawers, and a lamp. All resident beds had clean linens and blankets. LPA observed additional linens are stored in a hallway closet. LPA observed the staff bedroom is kept locked and inaccessible to residents in care. LPA inspected the two resident bathrooms. Resident bathrooms are clean. Bathrooms are equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 116.3 and 119.6 degrees Fahrenheit. LPA observed the kitchen has a two day perishable and seven day nonperishable food supply on hand. CONTINUED ON LIC809-C LPA observed kitchen appliances to be clean and operational. The five burner gas stove lights unassisted. LPA observed kitchen knives and sharps are stored in a locked kitchen cabinet. A fire extinguisher is located in the dining room and it was observed to be charged and up to date on service. LPA tested the individual smoke detectors and carbon monoxide detectors which tested operational. LPA observed the facility conducted their last emergency disaster drill on December 1, 2025. The centrally stored medication is kept in a locked kitchen cabinet. LPA observed a First Aid kit stored in the closet by the resident hallway. The First Aid kit was observed to have all the required components. The door leading to the attached three car garage is kept locked and inaccessible to resident in care. LPA observed the three car garage is used for storage and for laundry. LPA observed chemical and toxins to be stored in the garage. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by a care giving staff, conducted a tour of the exterior portion of the facility. LPA observed the exterior portion to be clear of obstructions and hazards. LPA observed a shaded outdoor seating area with furniture for resident use. The perimeter gates of the facility are self-latching and can be opened in an evacuation. LPA observed a pool located in the backyard which is adequately fenced and kept locked for resident safety. LPA reviewed all four resident files. LPA observed that there was no Medical Assessment on file for Resident #1 (R1). LPA observed that the Reappraisal on file for Resident #3 (R3) was outdated. LPA reviewed four residents’ medication and medication administration records. LPA reviewed two staff files. All staff are background cleared and associated to the facility. LPA observed that the licensee, Adams Residential Care Facilities, LLC, is not active and was suspended on December 1, 2011. LPA also observed that the annual fees for the facility were not paid in 2024 or in 2025. The AD was advised that if the annual fee are not being paid, it may result in forfeiture of the license. Based on today's observations, deficiencies are being cited on the attached LIC809-D pages. An exit interview was conducted via telephone with Administrator Michael Adams. A copy of the report and Appeal Rights were provided to an authorized facility representative.