Routine inspection·November 17, 2025

Licensing Program Analyst (LPA) LaVette Farlow arrived unannounced to conduct the required annual visit to the facility. LPA met with Caregiver, Cintia Espinoza Lopez, and introduced self and stated purpose of the visit. Cintia notified the Administrator and House Manager of LPA's arrival. LPA was informed that there are currently 4 residents the home. The facility has 4 resident bedrooms, 1 staff room/ office, 2 bathrooms, kitchen, dining area, living room, attached garage, backyard with 2 shaded/cover areas. 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 73 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 116.3 and 117.9 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, 3 fire extinguishers and emergency kit. Posters such as; the personal rights, ombudsman and emergency disaster plans were posted in a common area. LPA observed cleaning supplies, toxins, sharps, and other dangerous items locked in cabinets made inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed in a secured filing cabinet and inaccessible to residents. There are no firearms, ammunition, swimming pool or bodies of water. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service : Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a wide variety of food available for residents. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, 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. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed that one (1) out of two (2) was missing a current physician report. A deficiency cited. LPA requested three staff for review for First Aid/CPR certifications, criminal record clearances, training's, and health screenings. LPA observed all staff files were complete and in order. LPA observed the facility file for Infection Control Plan, Emergency Disaster Plan, Liability Insurance, and Fire drills. LPA observed the Infection Control Plan was missing a signature stating it was signed, updated, and or reviewed for 2025. A technical violation issued. Also, the Liability Insurance was not updated and available for review. A deficiency cited. LPA conducted a random audit of two (2) residents medication. LPA observed that one (1) out of two (2) residents was missing initial for medications that was dispensed on the 16th and 17th of November. A deficiency cited. During todays visit three (3) deficiencies and one (1) technical violation were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D and LIC9102TV were discussed and copies were provided to Manager Maribel Parks.