Routine inspection·March 17, 2026

At 9:05am on March 17, 2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived unannounced to the facility to conducted the annual facility inspection. LPA met with Administrator Martha Ramirez, announced who he was and the reason for the visit. LPA noted that the facility is one of four facilities, a recreation building, and administrative offices on approximately 2 acres that is gated. The property also has an expansive open courtyard with shaded areas for residents and visitors. During todays inspection, LPA conducted the annual inspection of only the facility listed above. Administrator and LPA conducted a full facility tour. This facility is a one-story residential home with six private resident bedrooms each with an en suite bathroom and walk-in shower. There is a great room consisting of a living room with self-contained fireplace, dining area, and kitchen. There is a designated salon room with full bathroom for the residents of this facility and the other three facilities on the property. There is a public use half bathroom at the facility entry. The medications are stored in a locked medication cart in the facility hallway. There are dual smoke/carbon monoxide detectors throughout the facility that are hardwired with backup battery. Apex Fire and Safety conducted an annual inspection of the fire sprinkler system on December 29, 2025. LPA noted that the facility is clean and in good repair with no obstructions in hallways, doorways or exits. LPA observed fire extinguishers that were tagged current and in the green compression range, serviced on December 29, 2025. (Continued on LIC809-C) LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records (CSMR) and found no violations. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy freely. LPA noted that all resident meals are prepared and cooked in this facility in a separate kitchen located through a door next to the salon and delivered to the other three facilties by hand. LPA observed at least two days of perishable foods and seven days of non-perishable on hand for this facility. LPA conducted a staff and resident file review. LPA and Administrator conducted a review of the annual care tool modules. Exit interview conducted, report signed, and report provided to the Administrator.