Routine inspection·August 21, 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 Alex Jimenez and explained the reason for the visit. Administrator (Admin) Juan Reyes arrived shortly to assist with the inspection. Admin holds a valid administrator's certificate expiring on December 2, 2026. The facility is a single story structure and is licensed to provide services for age range 60 and over for six non-ambulatory residents. A waiver was granted to provide hospice services to four residents at one time. During today's visit, there are five residents of which two are under hospice care and two staff on duty. LPA toured the physical plant with Admin Reyes. Facility is clean, sanitary, and in good repair. LPA observed five resident bedrooms and two resident bathrooms. Resident bedrooms had all required furnishings. Bathrooms were found to be in compliance, clean, and operational. The hot water temperature measured at 105.0 degrees Fahrenheit in both bathrooms. 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 gates are self-closing and self-latching. LPA observed sufficient seating and shading. The fire extinguisher was mounted and serviced on December 12, 2024. The auditory devices and smoke/carbon monoxide detectors were tested and operational. Emergency evacuation drills are conducted quarterly, with the last date on August 1, 2025. The Complaint Poster, 'See Something, Say Something,' (PUB 475) was available and posted in the correct size in the entryway. LPA conducted a review of all residents and two staff files. No discrepancies noted. Medications were audited in six out out of six residents. No discrepancies noted. Interviews were successfully conducted with three 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 Administrator Juan Reyes, and a copy of this report was provided at exit.