Routine inspection·April 23, 2026

On 04/23/2026 at 1:20PM, Licensing Program Analyst (LPA) LaVette Farlow arrived unannounced to conduct the required comprehensive annual visit to the facility. LPA met with Caregiver, Rizalina Maines and introduced self and stated the purpose of the visit. LPA was informed that there are currently three (3) ambulatory residents in care. The facility has five (5) bedrooms, two (2) of the bedrooms are for staff, 2 bathrooms, kitchen, dining area, living room, office, laundry, attached garage and backyard with a shed. LPA completed a walk through of facility, review of records, P & I funds and medication 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 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 121.3 degrees Fahrenheit. A Technical Violation issued. The facility is equipped with operational smoke detectors, carbon monoxide alarm, charged fire extinguishers and first aid kit. 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 and inaccessible to residents. 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. LPA observed the LIC610E Emergency Disaster Plan was available in the facility folder, but it had not been review and updated in over a year. A Technical Violation issued. Food Service : Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. LPA observed sufficient emergency supplies. The facility has emergency food and water. LPA observed three expired boxes of emergency food (macaroni and cheese). A Deficiency cited . Yards/Outside: One shaded patio, two (2) side gates with self-latching handle on the left and right side of the house that leads into the backyard. During the facility inspection tour of the back yard LPA observed that the trees needs to be trimmed. The trees are hanging in the walk way. A Technical Violation issued. Record Review: LPA reviewed staff and administrator files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. LPA observed that staff personnel file were maintained. LPA reviewed two (2) resident files for admission agreements, updated physician reports, needs and services plans and P & I funds. LPA observed that 1 out of 2 residents was missing a current physician report. A Technical Violation issued. One (1) Deficiency and four (4)Technical Violations was given during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D and LIC9102TV were discussed and copies were provided to Administrator, Mario Mancias.