Routine inspection·July 14, 2025

Licensing Program Analyst (LPA) Jessica Cho arrived unannounced for the purpose of conducting the Required 1-Year annual evaluation using the Care Inspection Tool. LPA was greeted and granted entry by Caregiver Mark Alex and explained the reason for the visit. Future Licensee (FL) Albert Dahbour arrived on site to assist with the visit. Elizabeth Joaquin, Administrator, holds a valid certificate expiring on September 22, 2026. The facility is a single story structure and is licensed to provide services for age range 60 and over for six non-ambulatory of which one may be bedridden. A waiver was granted to provide hospice services to four residents at one time. During today's visit, there are two residents under hospice care and two staff on duty. LPA toured the physical plant with FL Dahbour. Facility is clean and operational. LPA observed six resident bedrooms and three resident bathrooms. There is one additional staff bedroom occupied by two live in staff. Resident bedrooms had all required furnishings. Bathrooms were found to be in compliance, clean, and operational. The hot water temperature measured at 111.2, 114.6, and 110.6 degrees Fahrenheit. All common areas were inspected including the attached two car garage. LPA reviewed the Emergency Disaster Plan (LIC610E) and observed sufficient emergency food and water in the garage. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food available in the kitchen. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The exit gate is self-closing and self-latching. LPA observed sufficient seating and shading. The fire extinguishers were mounted and serviced on July 1, 2025. The auditory devices and smoke/carbon monoxide detectors were tested and operational. Emergency evacuation drills are conducted quarterly, with the last date on May 22, 2025. The Complaint Poster, 'See Something, Say Something,' (PUB 475) was available and posted in the correct size in the hallway. LPA conducted a review of all residents and two staff files. No discrepancies noted. Medications were audited in two out out of six residents. No discrepancies noted. Interviews were successfully conducted with two out of the six residents as well as two staff interviews. Based on the observations made during today's visit, no deficiencies are being cited. An exit interview was conducted with Future Licensee Albert Dahbour, and a copy of this report was provided at exit.