Routine inspection·November 13, 2025

On November 13, 2025, at 9:30 AM, Licensing Program Analyst (LPA) Avelina Martinez made an unannounced visit to this facility to conduct an annual required inspection. LPA Martinez met with Isikeli Tuikenatabua and explained the purpose of today's visit. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. Administrator holds current certificate expires on September, 02 2027 . The facility is licensed for fourteen non-ambulatory clients. There are currently twelve residents who reside at this facility. The facility has an approved hospice waiver for one. There are currently no residents receiving hospice care. The LPA Martinez toured the facility with Isikeli Tuikenatabua on November 13, 2025, at 11:00 AM. LPA Martinez reviewed five resident files and five staff files. The resident and staff files were maintained. LPA Martinez reviewed two medication administration records (MAR), and both MARS and medication orders were maintained. LPA Martinez reviewed the Infection Control Plan and Emergency and Disaster Plan. The facility's last fire drill was on September 01, 2025. The fire extinguisher was last inspected on March 26, 2025. The facility wired fire alarms was last inspected on April 11, 2025. The smoke detectors and carbon detectors were tested, and they are in good repair. The facility has a public telephone and has an area for activities. The toxins and medications are made inaccessible. The facility has a first aid kit. The laundry area is maintained and sanitary. The resident bedrooms and bathrooms are furnished. The water temperature measured at 108 degrees and and facility temperature measured at 68 degrees. Continued... Common areas were furnished and sanitary. The facility kitchen is furnished and had an adequate food supply. There are no cameras installed at the facility. The exterior of the facility is clear of debris and has a covered patio with seating. As a result of this annual inspection visit, there were no deficiencies cited at this time. An exit interview was held, and a copy of this report was given to the facility at the end of this visit.