Routine inspection·April 1, 2026

Licensing Program Analysts (LPA) Alviso conducted a Required- 1 Year visit, on 4/1/26 at approximately 9:45am, and met with James Homer, Administrator. Fire clearance is approved for one hundred fourteen (114) non-ambulatory, of which six (6) may be bedridden. Facility's delayed egress and secured perimeter is approved by the local fire department. Facility has an approved dementia plan of operation. There is an approved hospice waiver for eighteen (18) residents. Facility has an infection control plan as required. The facility has a required emergency and disaster plan. LPA reviewed ten (10) resident files, including medication records. All medications were stored appropriately, and locked up making them inaccessible to residents, and all others that do not handle/assist with medications. LPA toured the facility with the Administrator. All exits were free and clear of any obstructions; All walkways and paths were free and clear of obstructions. Hot water was measured in AL at 115.3 degrees Fahrenheit on the 2nd floor and 114.2 degrees Fahrenheit on the 1st floor, all readings were within regulation; Hot water was measured in memory care unit at 118.3 degrees Fahrenheit, which is within regulation. Fire extinguishers were serviced and tagged as required. All laundry rooms were clean and orderly, in AL and memory care. Facility had a sufficient supply of food, perishable and non-perishable. Emergency supplies, and emergency disaster supplies were sufficient during today's inspection. Continued on LIC809C... There was sufficient observed lighting throughout all common areas, hallways, bathrooms, and resident rooms, that were observed, during the inspection. LPA is requesting the following documents be updated and submitted by 5/1/26: LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610E- Emergency Disaster Plan (review and update as needed/required-no changes submit copy of review page- If changes submit copy of plan) Infection Control Plan (review and update as needed/required-no changes submit copy of review page- If changes submit copy of plan) LIC400- Handling of Client Cash Resources -All facilities must complete the form (include copy of surety bond if handling cash) Current Liability Insurance Resident Roster LPA still needs to review staff training, and emergency disaster plan/and training, and review conducted emergency drills; The annual inspection will be continued at a later date.