Routine inspection·March 4, 2026

On March 4, 2026, Licensing Program Analyst (LPA), Mia Lankford arrived at the facility unannounced to conduct the Annual Inspection and met with the House Manager, Imelda Villar. The facility file review was conducted and additional records were requested and reviewed on site. The facility is licensed for six Elderly Adults and is currently operating at a capacity of two adults. LPA Lankford toured the facility along with the House Manager, Imelda Villar and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. Additionally, there were bodies of water on the premises with a locked gate around it. The facility isf a single story home. Physical Plant: LPA Lankford observed the two(2) resident’s bedrooms, and each was furnished with required fixtures as per Title 22. LPA Lankford inspected the facility bathrooms, and the hot water temperature tested within regulations, and logged at 111.4 degrees. The bathrooms were clean, and appliances were operable at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers dated 2/18/26. LPA Lankford observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the LTCO poster in hallway. The cleaning supplies and sharp items were locked and inaccessible to the residents in care. There were designated storage spaces for the residents’ and staff’s files, and the file were locked in a cabinet. Medications : The medications were locked in the kitchen cabinet. The medication records were maintained and keep with the medications in locked cabinet. There were no documented errors observed on the Medication Administration Record.The LPA observed the pantry to be clean, neat, and organized. CONT...809C Food Service& furniture: The kitchen was clean and free of any seen pest, clutter, or unsightly debris. The non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for the residents in care at the time of this visit. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. The facility heating system and other appliances were operable at present time of visit. The House Manager informed the LPA there were safety lights for night throughout the facility, and the LPA observed these as indicated. Care & Supervision / Administration: Currently there are adequate staff present for the care and supervision of the residents in care. There are two staff available at the time of this annual visit. The listed Administrator Derick F Villar possesses a current administrator’s certificate with an expiration date of 10/02/2026. The staff files reviewed have criminal clearance, updated training, along with current First Aid certification. Resident files reviewed possessed the required paperwork as per Regulations at the present. Including current physical and TB test, along with updated IPP’s. Disaster preparedness: LPA Lankford reviewed the facility's emergency and disaster plan as well as disaster training binder. LPA observed the last fire drill met the Department standards and was conducted as required per standards, it was given on 12/5/2025. Infection Control: LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility in laundry room. LPA reviewed the facility's infection control plan and found required infection control measures met the Department requirements. An exit interview was conducted. A copy of this report was reviewed and given to the House Manager, Imelda Villar.