Routine inspection·July 21, 2025

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required 1-Year Visit. Upon arrival, LPA was greeted by caregiver Alma Jaramillo, who was informed of the purpose of the visit. All staff present have current criminal record clearances. The facility administrator, Vida Dacanay, arrived during the visit. According to the facility’s license, the facility has a maximum capacity of six (6) residents, age 60 and above, including non-ambulatory individuals. One resident may be bedridden in Room 1 or Room 4 only. The facility is also approved for three (3) hospice waivers. At the time of the visit, there were three (3) residents in care, two of whom are receiving hospice services. LPA, accompanied by caregiver Alma Jaramillo, conducted a tour of the interior and exterior of the facility. The facility was observed to be clean, sanitary, and in good repair. Pathways were free of obstructions and slip hazards. Residents’ bedrooms contained all required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE) were available. The facility provided adequate space and equipment for dining, laundry, visitation, meetings, and resident activities. The facility was stocked with at least two (2) days of perishable food and seven (7) days of non-perishable food, all safely stored. During the visit, caregiver Lily Dacanay returned from grocery shopping. Cooking and dining equipment and utensils were present and appropriately maintained. (Continue at LIC809C) (Continue from LIC809) No sharp objects, toxic chemicals/poisons, or open-faced heaters were accessible to residents. Medications were properly labeled and stored in locked areas. There were no bodies of water on the premises. Per staff, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and the facility telephone were all functional. One (1) fire extinguisher was last serviced in February 2025, within the required timeframe. The first aid kit was complete. All required licensing postings were observed in clearly visible areas. The facility temperature was comfortable at 74°F. Current liability insurance is in place. All staff had valid CPR certifications, and the most recent emergency drill was conducted on March 22, 2025. LPA interviewed staff and reviewed a selection of staff and resident records. Residents appeared clean, well-groomed, and appropriately dressed, with no odors or signs of neglect observed. Interviews did not raise any licensing concerns. The reviewed files contained all required documentation, and confidential records were stored in locked locations. An exit interview was conducted with Administrator, Vida Dacanay, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.