Health check·May 1, 2026

On May 1, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Health Checks. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator Janine Cuyson was notified via telephone and later arrived to assist with the inspection. On today's visit, the facility currently has a census of three residents, however, there were only two residents present at time of visit. LPA observed residents to be in clean clothes. LPA, accompanied a staff, conducted a tour of the physical plant. LPA inspected the four resident bedrooms and observed them to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in a hallway closet. LPA inspected the two shared resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. The water in each of the resident bathroom was operational and measured between 105.5 and 105.9 degrees Fahrenheit. LPA inspected the facility's kitchen area. LPA observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPA observed dead cockroaches to be present in various areas throughout the kitchen, including in the kitchen pantry, under the sink, and under the stove. LPA observed a total of fourteen cockroaches during the visit. LPA observed the facility has a three day emergency food and water supply stored in the attached two car garage. No additional health or safety concerns were observed during the visit. LPA observed all of the facilities utilities to be operational during the visit. LPA additionally conducted interviews with three staff and two residents during the visit. Three out of three staff stated that they received their pay for the most recent pay period which ended on April 30, 2026. CONTINUED ON LIC809-C The three staff reported that the next pay date would be on May 7, 2026, and it would cover the hours they worked from April 27, to May 3, 2026. During the previous visit conducted to the facility on April 14, 2026, LPA requested the following documents to be submitted to him by close of business day April 17, 2026, to assess the Licensees current financial situation: Proof of rent payments for March and April 2026. All utility bills (water, gas, electricity, trash, internet) for March 2026. Payroll records for March 2026. As of today, May 1, 2026, LPA has not received any of the records requested. Based on the observations made during today's visit, deficiencies are being cited on the attached LIC809-D page. An exit interview was conducted with Administrator Janine Cuyson. A copy of the report and appeal rights were provided at time of visit.