Routine inspection·September 17, 2025

On 09/17/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a Required 1 year annual inspection. LPA met with Administrator Gracia Palafox Lapid and explained the purpose of the visit. LPA and Administrator conducted a tour of the facility. Areas toured include but not limited to resident bedrooms, bathrooms, kitchen and common areas. While conducting a tour of the kitchen area LPA observed around twenty (20) or so medications to be out on the kitchen table. Administrator stated that it is their medications and they were organizing it earlier this morning. LPA and Administrator discussed how no medications should be out and accessible. LPA conducted a file review of three (3) residents. Two (2) out of three (3) residents are missing Physician Reports (LIC602). LPA and Administrator discussed that all residents need to have a LIC602 before being admitted into the facility. Additionally, LPA conducted a file review of two (2) staff files. LPA observed that one (1) out of two (2) staff files are incomplete and missing initial training. LPA and Administrator discussed that all staff are to have forty (40) hours of initial training and twenty (20) hours annually. As a result of today's inspection, deficiencies observed. Please see LIC 809-D. Exit interview conducted and a copy of the report and appeal rights was provided.