Routine inspection·April 7, 2026

Licensing Program Analyst (LPA) Ivashia Wright conducted an unannounced visit for a required annual inspection . The LPA was greeted by caregiver Rosemary Sibayan , notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Agnes Martinez the licensee arrived shortly after. Facility Overview: The facility is a single story building with five (5) residents bedrooms, three and half (3.5) bathrooms, Two(2) common areas, a kitchen area and a garage. There is no gated pool and there are no firearms on the premises. Infection Control: The 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 kitchen inaccessible to residents. The smoke detector and carbon monoxide detector were operational. The LPA observed fire extinguisher to be in compliance with the department requirements and with an expiration date of March 9, 2027. The water temperature was tested within regulations measuring at 110.6 F Continued 809-C..... 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 December 28th, 2027 and a CPR certification with the expiration date of August 28th, 2027 Record Review and Resident/Staff Files: The LPA reviewed files for three (3) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Four (4) residents' files were reviewed and contained all required documentation. The 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 common 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 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 2-25-2026, 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 Licensee Agnes Martinez.