Routine inspection·December 30, 2025

On 12/30/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced 1-year required annual inspection. LPA met with staff Florence Ezeh and explained to Florence the purpose of the visit. LPA was granted entry and conducted a tour of the facility. LPA observed the following during today's visit: The facility is a single-story structure which consisted of (2) two staff bedrooms, (3) three resident bedrooms, (2) two bathrooms, living room, kitchen, garage, laundry room, and backyard. The backyard was observed to have a covered patio that was fully furnished. Indoor/outdoor passageways were free from obstructions. Facility maintained a (2) two-day supply of perishable foods but did not maintain a (7) seven-day supply of non-perishable foods. Kitchen was kept clean and free of vermin. Perishable foods observed were not of nutritional value; perishable foods maintained were of processed food items. Knives and other sharp materials were stored in a locked cabinet in the kitchen. LPA observed an unlocked cabinet which stored disinfectants and other cleaning solutions. LPA was informed that the cabinet is kept unlocked until the end of the day. Medication was centrally stored in a locked cabinet in the hallway. Resident bedrooms were equipped with the required bedding, furniture, and functional lighting. Shower and toilet area was equipped with the required grab bars and shower was equipped with a slip resistant material. LPA observed activities available for residents like books, puzzles, and games. The dual carbon monoxide and smoke detectors were tested and observed to be fully operable. LPA observed a cabinet in the hallway which stored additional linen and towels. LPA observed a fully functioning washer and dryer to provide residents with laundry services. (Continue to LIC809C) (Continuation from LIC809) Facility maintained a facility cellphone that connected to the internet and equipped with a camera for resident-use. Per staff Florence, there are no firearms and/or ammunition on the premises. LPA conducted (4) four out of (4) four resident records review. Records review included but not limited to dental information, pre-placement assessments, admission agreements, physician reports, and needs and service plans. LPA conducted a review of (2) two out of (2) two staff records. Records included but not limited to fingerprinting, background clearance, personnel report, health screening, TB results and first-aid/CPR certification. LPA did not observe (20) twenty hours of annual training for Staff #1 (S1). Upon speaking with S1, LPA was advised that the training's had not been completed due to lack of time. LPA observed postings of the LTCO, See Something Say Something, Personal Rights, Emergency Disaster Plan, Facility License, and Administrator Certification. During today's visit, LPA observed multiple health and safety concerns. Therefore, deficiencies will be issued in accordance with Title 22 Division 6. An exit interview was conducted and a copy of this report was provided to staff Florence, along with LIC 9099C, (2) LIC9099D, and appeal rights.