Routine inspection·October 20, 2025

On 10/20/2025, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced 1-year required visit to the facility. LPA was met with and greeted by caregiver, Alva Davis. LPA Flores introduced herself and was granted entry into the facility. A tour of the interior/exterior areas of the facility was conducted alongside caregiver Alva. During today's visit, LPA Flores observed the following: The facility is a single-story structure which consisted of (5) five resident bedrooms, (3) three bathrooms, living room, laundry room, great room, dining room, kitchen, and garage. Resident bedrooms were equipped with the required bedding, furniture, seating, and functional lighting. The facility maintained a comfortable temperature throughout the facility. Bathrooms were equipped with the required grab bars and slip resistant mats. The kitchen area was clean and free of rubbish. Facility maintained the required (2) two-day supply of perishable foods and (7) seven-day supply of non-perishable foods. LPA observed knives and other sharp items in a locked cabinet underneath the kitchen sink. A locked cabinet was observed to store centrally stored medication near the kitchen/dining room area. Utensils and other dishware were in sufficient supply and in good repair. LPA observed a cabinet in the hallway to store activities, extra linen and towels for the resident in care. Water temperature measured at 108.9 degrees Fahrenheit. Indoor/Outdoor passageways were free of obstruction. LPA observed outdoor seating with adequate shading. Per Administrator, Walter Meza, there are no firearms and/or ammunition on the premises. (Continue to LIC809C...) (Continuation from LIC809) LPA observed the required postings throughout the facility; LPA observed the See Something Say Something poster, Personal Rights, facility license, administrator certification, disaster plan, and LTCO poster. Resident records review included but not limited to pre-admission appraisal, Functional Capabilities, appraisal, medical assessment, needs and service plans, personal rights, and signed admission agreements. Staff records included background clearance, health screenings, and personnel records. LPA Flores did not observed updated annual training's. Per Administrator, the last conducted training's were from 2023. Therefore, citations will be issued during today's visit. An exit interview was conducted where a copy of this report, LIC811, LIC809-D and appeal rights were reviewed and provided to Licensee, Walter Meza.