Routine inspection·July 29, 2025

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Caregiver Maria Rojas. The facility's license shows a maximum capacity of six (6) non-ambulatory residents. Additionally, the facility is approved for two (2) hospice waivers. During today’s inspection there were five (5) residents in care and LPA observed residents eating a meal together and engage in activities. Executive Director Cynthia Grape arrived later during the visit. LPA and Caregiver Rojas toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: Bathroom sink in common bathroom read at 105F and a private resident bathroom read at 105.6F. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives were locked and kept inaccessible to residents in care. [Continued on LIC 809-C] [Continued from LIC 809] No toxic chemicals or poisons were accessible to clients.  Medications were labeled, as required, and stored in locked areas. A pool exists on the premises and LPA observed the pool to be secured with a surrounding fence required per regulation. Gates were noted to be locked. Additionally, a small water fountain fixture is present at the front yard of the facility. Per Caregiver Rojas, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were serviced June 2025. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed one (1) staff and three (3) clients, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited during the inspection. An exit interview was conducted with Executive Director Grape to whom a copy of this report was provided. Their signature below confirms receipt of these documents.