Routine inspection·October 14, 2025

Licensing Program Analyst (LPA) Rankin arrived at 8:53 am to conduct a 1 year annual visit to the facility above. LPA met with Administrator, Merla Ventura and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Physical Plant & Environment Safety: The fire extinguisher was last charged and inspected on 5/27/25. The facility has 4 resident bedrooms but is now utilizing only 2 rooms for residents and 2 bathrooms. The facility has a smoke and carbon monoxide detector that was tested and was working properly during visit. The lighting and lamps are sufficient for the use of the facility and for resident comfort and safety. Toilet, hand washing and bathing facilities are operational and secure grab bars are present. The facility has sufficient space inside and outside for activities and visiting. The facility has a secure backyard and front patio for client use with plenty of shade. The facility has telephone and internet service for residents’ use. Operational Requirements: The facility has a current plan of operation on file with the department. The facility is operating in compliance with the granted fire clearance. Liability insurance is current and expires on 6/23/26. The facility is approved for a capacity of 6. The fire clearance is granted for 2 ambulatory, and 4 non-ambulatory. Hospice is approved for 1. Staffing: The facility currently employes 2 full-time staff. Staff records are being updated and will be provided to LPA. Administrator has a current certificate that expires 3/17/27. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. LPA reviewed 2 resident files for signed Admission Agreements, LIC 602A Physicians report, Appraisals Needs and Services Plan, Emergency and ID forms. Food Service: The facility has 2-day perishables and 7-day non-perishables and plenty extra, to meet the food service requirements. Fresh fruits, proteins, and snacks are available. Incidental Medical Services: The facility uses Centrally Stored Medication and Destruct Records (CSMDR). LPA reviewed resident medications and found all medications were recorded and regulations are followed. LPA observed that medications were not expired and were kept in their original containers. Residents with Special Health Needs: The facility does accept dementia residents in care. Exit interview conducted and copy of report printed for Administrator.