Routine inspection·July 22, 2025

Licensing Program Analysts (LPAs) Ramin Hashemi and Nacole Patterson conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were allowed entry and discussed the purpose of the visit with Manager Alma Saenz. According to the facilities license, the facility has a maximum capacity of seventeen (17) residents, of whom thirteen (13) may be non-ambulatory. Hospice waiver approved for five (5) residents. Four (4) residents may be bedridden. LPAs, accompanied by Manager toured the interior and exterior of the facility, and inspected five (5) rooms on all three (3) floors. The facility was clean, 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. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. Hot water temperature was measured in the facility at 119.5 degrees F in bathroom #1 and 119.7 degrees F in bathroom #2. The ambient temperature inside the facility was measured at 77 degrees F. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. Their are no bodies of water on the premises. Per Manager, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPAs reviewed multiple staff and resident records/files. LPA interviews did not raise any licensing concerns. The files which LPAs reviewed contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Alma Saenz whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.