Routine inspection·January 26, 2026

Licensing Program Analyst (LPA), Debbie Correia, made an unannounced visit to conduct the required One-Year Inspection. LPA Correia was greeted by Caregiver Valeria Rivera, identified herself, and explained the purpose of the visit. The facility is licensed to serve 6 residents aged 60 and above, all six (6) of whom may be non-ambulatory of which must reside in bedrooms #1, #2, and #4. In January of 2024, the facility was granted a Hospice waiver for six (6) residents in care. Licensee Christina Tapia arrived a short time later, to join the visit. During today’s visit two (2) of the six (6) residents were present, the remaining four (4) residents were attending Day Program. A review of records revealed resident records including but not limited to; a current Physician's Report, Resident Appraisal, Needs & Services Plan, Identification and Emergency Information, and Admission Agreement, were current and complete. In addition, personnel records were reviewed for Criminal Record Clearance, required training, Health/TB Screening Report, First Aid and CPR certification, and qualifications that were also current and complete. The facilities last disaster drill was conducted in January of 2026. The facility has a current lease agreement and liability insurance. A review of medication administration records was accurate and complete, and medications were kept in a locked med-cart. Toxins and other hazardous materials were housed in locked cabinets/garage and inaccessible to residents in care. [Continued on LIC 809C] [Continuation of LIC 809] LPA Correia, accompanied by Licensee Tapia and caregiver Rivera, conducted a facility tour, and inspected resident rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Required postings were observed. Resident bedrooms contained the required furnishings. Resident showers were equipped with non-skid flooring and grab bars, and in working order. The temperature at taps used by residents measured at 113.8 degrees Fahrenheit. The facility doors, windows and screens were in good repair. Extra linens, hygiene supplies, and Personal Protective Equipment (PPE), and night lights in hallways were present. LPA also observed a landline, smoke and carbon monoxide detectors, a fire extinguisher that were present, operational, and/or current, and a First Aid Kit. The facility had an adequately sized common area and a shaded outdoor area for activities and visitation. There were no bodies of water on the facility grounds. Per Licensee Tapia there are there are no firearms or ammunition on the facility premises. Based on today’s inspection, there are no deficiencies being cited. An exit interview was conducted and a copy of this report, and Licensee Rights - LIC 9058 (rev. 01/16) will be provided to Licensee Tapia, whose signature on this form acknowledges receipt of these documents.