Routine inspection·November 25, 2025

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection . The LPA was greeted by Caregiver Karim Ibarra Morales , notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Facility Overview: The facility is a single- story building with 4 residents bedrooms, 1 staff bedroom, 3 bathrooms, a kitchen, a laundry room and a garage. There is no gated pool and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was not well maintained. LPA observed two exterior window screens and one door screen to have tears . Citation will be issued. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen and inaccessible to residents in care. The smoke detectors and carbon monoxide detectors were operable. LPA observed fire extinguisher not to be in compliance with the department's requirements. The last serviced date was 06-10-24. Citation will be issued. The water temperature tested within regulations measuring 108.5 F. Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The Administrator holds a current Administrator's certificate with the expiration date of 05-02-2026 and a CPR certification with the expiration date of 11-25-2025. Record Review and Resident/Staff Files: LPA reviewed files for 2 staff members, confirming criminal clearance, updated training, and health screening. 2 residents' files were reviewed and contained all required documentation. LPA observed first kit to be available for the clients in care. The residents and staff files were kept locked and inaccessible to unauthorized individuals. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked upstairs in the medication room. LPA reviewed medication for 2 residents confirming that all medication were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 11-05-2025, which met the department's requirements. All facility exits were clear of obstructions. Deficiencies were cited during the visit. An exit interview was conducted, during which this report, the 809-D and the appeal rights were reviewed, and a copy was provided to Caregiver Karim Ibarra Morales.