Routine inspection·December 5, 2025

On 12/5/2025, Licensing Program Analyst, Arvin Villanueva (LPA), arrived at this facility to conduct the annual inspection visit. LPA initially met with staff on duty, Janette Cuntapay, and stated the purpose of the visit. The Licensee/Administrator, Helen Enriquez (AD), arrived shortly after. Overview : Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 6 elderly residents, 6 of which may be non-ambulatory. Facility does manage residents’ cash resources. Facility is not cleared for bedridden, delayed egress, and locked interior/exterior. Facility is approved for up to 2 hospice residents. Initial Observation: Present upon arrival were 3 staff on duty with 5 residents. LPA observed required posters and facility license. Room temperature was at 74 degrees Fahrenheit upon arrival. Physical Inspection : Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA inspected 6 of 6 resident bedrooms and 2 bathrooms. The hot water temperature was measured at 116 degrees Fahrenheit. In one resident bathroom, LPA observed Lysol sprays and other solutions were in unlocked cabinet, accessible to residents, including personal hygiene supplies. LPA also observed the grab bars in the shower were loose. Also in another bathroom, labeled EMPLOYEE, LPA observed a medicated cream (M1) inside the medication cabinet. Per review of 3 residents’ Physician’s Reports, at least 2 residents were assessed to be at risk if they have access to these items. {1 of 2} Fire extinguisher was observed and was purchased on 7/18/2025. Smoke and carbon monoxide detectors were observed throughout. LPA observed centrally stored medications and sharp objects were kept locked and inaccessible to residents in care. In the kitchen area, LPA observed at least seven-day non-perishable and two-day perishable food supplies. Kitchen refrigerator and freezer temperature were unknown. Outdoor area was inspected. LPA observed outdoor furniture for resident use. Ramps were observed to be in good repair at this time. Fence and gate were in good repair. Record Reviews: Review of 3 resident files was conducted, including but not limited to, review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Medication reviews were conducted for 2 residents. Issues were discussed with AD. LPA reviewed Infection Control Plan and Emergency Disaster Plan. Issues were discussed with AD. Based on today's visit, this annual inspection will need a CONTINUATION. The Department will return at a later date to continue the inspection. Exit interview was conducted and a copy of this report was provided.