Routine inspection·March 18, 2026

Licensing Program Analyst (LPA) Toni Nwala and LPA Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection . The LPAs was greeted by assistant administrator Phillip Abaya, notified him of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Facility Overview: The facility is a one story building with five(5) residents bedrooms, One (1) staff room, two and half(2.5) bathrooms, a sun room, an office and a kitchen area. There is a gated pool with a secured lock and there are no firearms on the premises Backyard was clean and free of debris . 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 requirements. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the garage and inaccessible to residents. The smoke detector and carbon monoxide detector were in good working condition. LPA observed fire extinguishers to be in compliance with the department requirements and with an expiration date of November 11, 2026 The water temperature was tested within regulations measuring at 113.9 F Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The administrator holds a current administrator’s certificate with expiration date of April 22, 2026 and a CPR certification with the expiration date of February 11, 2027 Record Review and Resident/Staff Files: LPA reviewed files for three(3) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. LPA observed first aide kit to be locked and inaccessible to the residents in care. The residents and staff files were kept in a locked cabinet in the kitchen area and inaccessible to unauthorized individuals Health-Related Services/Incidental Medical Services: All residents' medications were securely locked in a cabinet and located in the kitchen area. LPA reviewed medications for three(3) residents, confirming that all medications 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 03-1-2026, which met department requirements. All facility exits were clear of obstructions. No deficiencies were cited during the visit. An exit interview was conducted, during which this report was reviewed, and a copy was provided to Administrator