Routine inspection·October 13, 2025

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced required 1 year inspection visit and met with Administrator (ADM) Armando Silva, and stated the purpose of the visit. The facility is licensed to serve adults 60 years old and over 6 non-ambulatory, bedrooms #1 and #3 are approved for both non-ambulatory and bedridden individuals and bedroom #2 is approved for non-ambulatory only. The facility has a hospice waiver for 6. LPA was accompanied with ADM during inspection of the facility inside and outside. The facility exterior has a ramp with missing plank creating a gap between planks and is a tripping hazard. LPA observed boxes of fruits and vegetables exposed to the element and starting to dry up and rot, collecting dust and attracts insects. ADM stated that the boxes of fruits and vegetables are property of the lessor who stays in the converted garage. LPA observed 2 vehicle parked in the side driveway and ADM stated the vehicles belongs to the lessor. The facility has cemented/paved garden area that is uneven and may pose as a tripping hazard. LPA observed 2 sheds used for storing supplies and wheelchairs no longer in use. Inside the facility, LPA observed 3 resident bedroom all are shared and 1 staff room. 3 bathroom, laundry area, kitchen, dining and main living room. The residents bedroom have functioning lights, clean bed linens, storage for resident's personal belongings. Resident's bathroom are equipped with anti skid/slip mats and grab bars. The hallways and walkways inside the facility are free from obstruction and debris and is well lighted. LPA observed laundry supplies and chemicals are locked and not accessible to residents in care. In the kitchen, LPA observed that sharps and medications are locked and not accessible to residents. LPA observed 2 days of perishable food and 7 days of non-perishable food. LPA observed that the kitchen is clean and organized. The kitchen and bathroom water temperature measured at 139.9 degree F to 141.1 degree F. The facility is equipped with smoke and carbon monoxide alarm system and fire extinguisher was last inspected on 09/17/25. LPA reviewed 3 staff record. 2 Out of 3 staff record training are outdated, 2 out 3 staff LIC 501, requires to state that they are employed by the facility and not by the old licensee. 3 Out of 3 staff has CPR/First Aid that are expired. 3 Out of 3 staff record have cleared fingerprint and criminal background record. 3 Out 3 staff health screening are cleared. Due to time constraint, the annual inspection will be continued at a later date. The following deficiencies will be cited at a future date based on the initial observation of today's visit (10/13/2025), 87705 Care of Persons with Dementia, 87411 Personnel Requirement, 87412 Personnel Record, 87303 Maintenance and operation and 87555 General Food Service Requirements. An exit interview was conducted with Administrator Armando Silva and a copy of the report was provided.