Routine inspection·November 12, 2025

On November 12, 2025 at 2:35 PM Licensing Program Analyst (LPA) LaVette Farlow made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Caregiver, Isje Logor and was granted entry to the facility. LPA was accompanied by Administrator Maya to conduct a general overall inspection, which included, but was not limited to, the following: The facility has 5 bedrooms, 2 bathrooms, kitchen, 2 dining areas, living room, office area, laundry room, garage and backyard. LPA completed a walk through of facility, review of records and medication audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 77 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 108.2, and 108.4 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguisher, and first aid kit. Posters such as; the personal rights, CCL complaint poster, ombudsman, and license were posted in a common area. Cleaning supplies, toxins, sharps, medications and other dangerous items were kept in secure cabinets inaccessible to residents. Residents/Staff files were observed locked and made inaccessible. There are no bodies of water, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service : LPA observed 2 days of perishables and 7 days non-perishables food, pantry stocked and up to date. Dishes, cups, and utensils were stored properly. LPA observed a sufficient supply of Emergency Food and water for residents and staff. Yards/Outside: One shaded patio, one shed used for storage and a side gate with self-latching handle on the left side of the house that leads into the backyard. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed all residents files were maintain and in order. LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. All staff file were maintained. Medication was audited and matched with record. LPA reviewed the liability insurance, emergency disaster plan and disaster drills. LPA observed the Emergency Disaster plan was missing the annual signature. A technical violation issued. No deficiencies, one technical violation issued during this visit. An exit interview was conducted where this report LIC809, LIC809C, and technical violation were discussed and copies were provided to Administrator, Gulvarg Maya Kaur.