Routine inspection·October 10, 2025

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Caregiver Martha Morales. Caregiver Jennifer Quintana arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory and 1 may be bedridden. LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and kept in locked cabinet. Per Jennifer, no firearms or ammunition are kept at the facility. Emergency lighting, and facility telephone were all working. Fire extinguisher was present and serviced within the last year. First aid kit were complete and readily accessible. Resident records reviewed had required documentation. There was no carbon monoxide detector present, LPA observed multiple detectors and all were smoke detectors only. Additionally, none of the doors leading to the exterior of the building had functioning auditory alarms, per resident records, multiple residents have wandering behaviors and are diagnosed with major neurocognitive disorders. Two deficiencies were cited for today's visit. An exit interview was conducted with Caregiver, to whom a copy of this report LIC 809-D, and the Licensee/Appeal Rights were provided during the visit.