Routine inspection·April 7, 2026

At 9:13am, on 4/7/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee/Administrator Hanileta Keohen, announced who he was and the reason for the visit. Licensee and LPA conducted a full tour of the facility. This facility is a single story residential home with three resident bedrooms (one is dual occupancy), two full bathrooms (one is en-suite and one is for public use). There is a living room with dining space, a kitchen and office area. The living room has a fireplace with barrier for resident protection and a piano for residents or visitors to play. Access to the laundry area and garage is through a locked door for resident safety. LPA noted that the backyard has seating and shade for residents and visitors. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is in the living room and functioning normally. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, serviced on 10/29/2025. LPA tested facility hot water at 120°F, within regulation temperatures 105-120°F. LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA noted that the facility is in good repair with no obstructions in hallways, doorways or exits. Medications are locked in a cabinet in the kitchen area. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records, finding no violations. Staff and client files are in the enclave of the kitchen. LPA conducted a staff and resident file review. (Continued LIC809-C) LPA noted 1 of 4 residents medical assessments indicate they are at risk if given access to poisonous substances and sharp objects. During facility tour at 9:31am LPA and licensee noted on the back patio on a metal rack covered with a tablecloth a box of plant food, aerosol can of bug spray, bottle of mosquito repellent, one quarter full bottle of Windex, and a kitchen knife approximately six inches in length with a black handle, all not locked up. Under the awning covered patio not connected to the house, in the backyard a wooden sink cabinet with two gardening pruners, two scissors, and aerosol false plant cleaner not locked up. Between the separate awning and the wall along the north side of the of the backyard a half full bottle of bug spray not locked up. All of these items were unattended and accessible to residents in care. Licensee locked up the items upon discovery. Unlocked and accessible poisonous substances was cited during last years facility annual conducted on 5/21/2025. LPA and Licensee conducted a review of the annual care tool modules. Exit interview conducted, deficiency cited on LIC809-D page, a civil penalty for in the amount of $250 for a repeat violation within the last 12 months is being assessed on the attached LIC421FC, report signed, report and appeal rights provided to Licensee.