Routine inspection·October 20, 2025

On 10/20/2025 at 9:15AM , Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to conduct the required annual visit to the facility. LPA was greeted and granted entrance to the facility. LPA met with Executive Director, Kenya Carlton, Dulce Allen and Yvette Navarro and introduced self and stated the purpose of the visit. The facility is operating as a Residential Care Facility for the Elderly. The total capacity is 144 residents; there are currently 91 residents in care. The facility has a dining area for all residents and adequate seating. LPA completed a walk through of the facility with Dulce Allen, review of records and medication(s) audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 75 degrees Fahrenheit. LPA inspected ten (10) resident units in both the memory care unit and assisted living; they are equipped with the 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 115 degrees Fahrenheit. The facility is equipped with carbon monoxide alarms in each of the hallways on both levels, charged fire extinguishers and first aid kit, with book. A third party services both the fire extinguishers and the smoke alarm; last tested on 09/03/2025. Postings : Posters such as; the personal rights, emergency disaster plan, CCLD complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed to be locked, inaccessible to residents in the medications room on the first level. There is no swimming pool, 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: Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: The facility has several shaded areas and courtyards throughout the facility with adequate seating. Record Review: LPA reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, training(s), and health screenings. LPA reviewed ten(10) resident files for admission agreements, updated physician reports, and needs and services plans. Three (3) deficiencies were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, and Appeal Rights were discussed and copies were provided to Executive Director, Kenya Carlton..