Routine inspection·September 19, 2025

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himselve to, and discussed the purpose of the visit with Licensee/Administrator Gemma Alegre and Caretaker Warlita Jimenez. According to the facility’s license, the facility has a maximum capacity for six (6) clients, of whom all can be non-ambulatory. Per LPA observation, LIC602 Physician’s Reports, and interviews: During today’s inspection, there were a total of five (5) clients in care, three ambulatory and two non-ambulatory. LPA interviewed staff and the client who was currently in the facility. LPA also reviewed the care records for all clients, and the personnel and training files for active staff. LPA, accompanied by Licensee, toured the interior and exterior of the facility and inspected all common areas and bedrooms. In the facility’s backyard, there was a shaded outdoor activity space/patio, as required. Area was clean and free of obstacles and well maintained. Hallway to the outside was also free of obstacles. Four trash cans in good condition were present on the outside of the facility. The facility was clean, sanitary, and in good repair, no foul smells or odors were present. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings and were specifically decorated for each resident with mementos, toys and other memorabilia, as well as religious items. Doors, windows and screens, toilet, and shower were all working. Extra linens and hygiene supplies were present. CONTINUED ON LIC 809-C, 1 of 2] [CONTINUED FROM LIC 809] The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was complaint at 76 F. Where tested, hot water temperature at taps accessible to clients were compliant in temperature: Kitchen Sink was 118.05 F and Bathroom Sink was 120 F. Appliances to preserve perishable food were also com pliant in temperature. Cooking/dining equipment and utensils were present and in good condition. There were no fireplaces, swimming pools, or similar bodies of water on the premises. There were no medications, toxic chemicals/poisons, or open-faced heaters accessible to clients. Confidential records were stored in locked areas. Per the Licensee, no firearms or ammunition are kept at the facility. The facility’s license does not include endorsements for delayed-egress doors or secured perimeter doors, and neither of these were present. Carbon monoxide detector, smoke alarms, night lights, and emergency lighting were all working. The facility’s fire extinguisher was serviced within the last twelve (12) months. Required licensing postings were observed in visible areas of the facility. Licensee presented proof of current business liability insurance and surety bond. Client care files contained the required records. Staff personnel files contained the required records. Licensee performed disaster drills on all three (3) shifts at the required intervals. Staff were also trained on Personal Protective Equipment (PPE) and the facility’s written Emergency Disaster Plan within the last twelve (12) months, as required. There were reserve supplies PPE present. An exit interview was conducted with Licensee/Administrator Gemma Alegre, to whom a copy of this report, the LIC 809 pages, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.