Routine inspection·April 10, 2026

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced visit to Tessa's Place 4. The purpose of today’s visit was to conduct the Annual Required inspection. LPA was allowed entry into the home and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents. Facility has an approved hospice waiver for 6 residents and the home currently has 4 residents with 1 on hospice care. Administrator Mark Cruz has a current administrator certificate expiring on 12/02/2026. Administrator Mark Cruz arrived during the visit. LPA Lyman along with Caregiver Manalili toured the facility at 10:47 AM. LPA toured the physical plant, checked food service, reviewed records and the first aid kit. Facility appears to be clean, safe, and sanitary. The home consists of six resident bedrooms, three resident restrooms, common restroom, one staff room, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. LPA observed three residents with half rails. Staff room is locked and inaccessible to residents in care. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105.8 and 109.9 degrees F in all facility restrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors as well as a first aid manual. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen cabinet. Smoke detectors and Carbon Monoxide detectors are hardwired and tested operational during today's visit. Fire extinguishers are fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating for residents. Exit gates are unlocked. CONT ON LIC 809C DATED 04/10/2026 LPA observed ample emergency food and water supply. LPA reviewed the emergency disaster plan and infection control plan during the visit. Plans are thorough and complete. Facility provided documentation of last fire drill conducted on 01/29/2026. Facility provides activities in the form of exercise and games. LPA reviewed four resident files and three staff files. Resident files contained required documents including admission agreements, current physician reports and resident appraisals and physician orders for bed rails as indicated. Staff files contained required documentation such as health assessments/ TB, required annual training and CPR/ First aid. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet and are audited monthly. Facility uses a medication administration record and documents routine and PRN medication administration. Medications appear to be administered per physician order. Based on the observations made during today's visit, NO deficiencies are being cited. Exit interview conducted and a copy of this report was provided to Administrator.