Routine inspection·November 14, 2025

On 11/14/2025, Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA Lee met with Administrator Jean Hamilton and Assistant Administrator Merrick Hamilton and explained the purpose of the visit. The Administrator Certificate # is 7033190740 and will expire on 02/23/2026. The current census is zero (0) with one (1) facility staff. LPA Lee advised administrator that her annual fees are due no later than 12/03/2025 and provided Administrator with her PIN number for payment. This facility is a single-story building licensed to serve fourteen (14) non-ambulatory residents with an approved hospice wavier for six (6). LPA Lee inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room, garage, staff office and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA Lee observed the facility to be free of odor, clean and in good repair. LPA Lee observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. LPA Lee toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. Hot water temperature was measured at 107.6 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. The smoke and carbon monoxide detectors are in compliance with fire safety. There are two fire extinguishers located in hallways and were last serviced on 09/17/2025. LPA Lee observed the facility has a has a public telephone in the common area and the facility has the required posters posted. Facility thermostat was observed at 68 degrees Fahrenheit, which is within the required regulation of 68 to 85 degrees Fahrenheit. CONTINUED LIC 809-C LPA Lee observed that the exit door in the dining room and the exit door in the hallway leading to the backyard did not have a single-action mechanism for unlocking and opening. LPA Lee informed the administrator that all emergency exits must operate with a single-action mechanism. The administrator stated they will remove the secondary lock on both doors to ensure compliance. LPA Lee observed toxins located in kitchen cabinets and kept locked and inaccessible to residents. LPA Lee observed sharp knives locked in the kitchen cabinet and inaccessible to residents LPA Lee checked medication storage and found medication cabinet to be locked away and inaccessible to client. The first aid kit was checked and contained the required components. LPA Lee reviewed two (2) staff files and they were complete The following documents were provided to LPA Lee during today’s visit: (1) LIC 308 Designation of Administrative Responsibility (2) Copy of Administrator Certificate (4) LIC 610 Current Emergency Disaster Plan (5) Proof of Current Liability Insurance (6) LIC 500 Current Personnel Report As a result of this annual visit, the facility is in compliance with Title 22 Regulation. An exit interview was conducted with Administrator Hamilton a copy of these LIC 809 reports and LIC 9102 Technical Violation was provided to the facility.