Routine inspection·December 17, 2025

On 12/17/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility for the purpose of conducting the 1-year required visit. LPA met with staff Nathaniel Hernandez and explained to Nathaniel the purpose of the visit. LPA conducted a tour alongside Nathaniel and observed the following: The facility is a single-store structure which consist of (4) four resident bedrooms, (1) staff bedroom, (2) bathrooms, laundry room, living room, dining room, garage, and backyard. Backyard area was observed to have a covered patio that was fully furnished. Indoor and outdoor passageways were free from obstruction. Resident bedrooms were equipped with the required bedding, furniture, and functional lighting. During visit, LPA observed staff encouraging residents to go outside to promote socialization. The facility maintained a (2) two-day supply of perishable foods and a (7) seven-day supply of non-perishable foods. LPA observed an additional refrigerator in the garage for the overflow food designated for the residents and staff. The facility maintained emergency food and water in the garage. The kitchen was kept clean and free of debris. LPA observed a locked cabinet in the kitchen designated for knives and other sharp items. Cleaning solutions and other disinfectants were kept in a locked cabinet under the kitchen sink. Dual smoke and carbon monoxide detectors were tested and observed to be fully operable. LPA observed a hallway cabinet that stored additional linen for resident use. Per staff Nathaniel, there are no firearms and/or ammunition on the premises. LPA reviewed (5) five out of (6) six resident records. Records included but not limited to signed admission agreement, physician reports, preplacement appraisals, and needs and service plans. (Continue to LIC809C...) (Continuation from LIC809C) (1) one out of (6) six residents did not have a completed file as they have not resided in the facility for a total of (30) thirty days. LPA reviewed (3) three staff records. Records included but not limited to health screening, background clearance, personnel reports, and relevant training's. During the tour LPA did not observe a posted fire clearance. Upon request, LPA was advised that the document cannot be provide for review as it was not maintained at the facility. Therefore, a citation will be issued in accordance to Title 22 Regulations. Upon records review and interview, LPA discovered that the Licensee retains a resident with a bedridden ambulatory status. The facility is not licensed to accept any bedridden residents. Therefore, a citation will be issued in accordance to Title 22 Regulations. An exit interview was conducted with staff Nathaniel Hernandez, and a copy of the LIC809, LIC809C LIC809G, LIC809D, and appeal rights were provided to the Administrator.