Routine inspection·January 27, 2026

On today's date January 27, 2026 Licensing Program Analyst (LPA) Brandon William Vanegas made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by caregiver staff and explained the purpose for the visit. Administrator (AD) Maria Jimenez was notified via telephone and later arrived to assist with the inspection. LPA observed that Administrator Maria Jimenez has a valid Administrator certificate which expires on April 20, 2027. LPA Vanegas began a tour of the facility and observed the following, the facility is a two story home, and consists of six bedrooms three of which are resident bedrooms, and three of which are staff bedrooms, two resident bathrooms, a living room, a dining room, a kitchen, and an attached two car garage. The upstairs portion of the facility is designated for staff only. LPA accompanied by the AD conducted a tour of the physical plant. On today's visit, LPA observed six residents in care and two caregiver staff present. LPA observed the See Something, Say Something poster (PUB 475) mounted on a wall by the kitchen. The PUB 475 poster measured 20X26. LPA inspected the three resident bedrooms and they were observed to be free of any hazards. LPA observed the resident bedrooms had the required furnishings such as a bed with clean linens in good repair; meaning no strains or tares, a chair, a chest of drawers, a reading lamp, and enough storage space to store personal belongings. LPA observed additional linens are stored in a hallway closet. LPA inspected the two shared bathrooms. Resident bathrooms are clean and free of mildew and debris. Bathrooms are equipped with grab bars and slip resistant floor mats. Water faucets and toilets tested operational. Hot water temperature measured between 110.3 and 116.4 degrees Fahrenheit. LPA inspected the staff bedroom which was observed to be locked. CONTINUED ON LIC809-C LPA Vanegas observed kitchen area to be clean and free of any mildew and debris. LPA observed a gas stove, microwave, refrigerator, dishwasher, washer, and dryer to all be in good repair, and tested operational. LPA Vanegas observed refrigerator to be at the appropriate temperature, and have a two day supply of perishable food and a seven day supply of non-perishable food. LPA Vanegas observed fire extinguisher in the kitchen area to be fully charged and recently purchased with receipt attached to it with a purchase date of November 25, 2025. LPA observed all smoke and carbon monoxide detectors to be operational. LPA Vanegas observed first aid kit to have all required items such as a thermometer, bandages, adhesive tape, scissors, tweezers, and a first aid manual. LPA reviewed six resident files, all six files were missing a weight record. Per LPA review of facility staff records three staff members had an expired CPR/First aid certification deficiencies were issued on today's date. taff had required annual training up to date and documents. LPA reviewed medication administration log and medications accompanied by AD, per LPA review all medications are being administered per physicians orders. LPA Vanegas conducted a tour of the outside of the facility, and observed the following. The backyard is free of any hazards or obstructions a long the exit routes. LPA observed a fully fenced pool with the fence measuring 5ft tall and bars 4 inches apart from one another. Side doors are self latching and unlocked. Based on observations made during today's inspection deficiencies will be issued. LPA Vanegas conducted an exit interview with AD Maria Jiminez and a copy of this report was provided to the facility.