Routine inspection·April 27, 2026

Licensing Program Analysts (LPA) Alviso conducted a Required- 1 Year visit, on 4/27/26 at approximately 9:45am, and was greeted by staff. There were two (2) staff on duty, lead caregiver Ana, and Brittany. Administrator Bana Solomon arrived shortly after to meet with the LPA. Facility has an approved dementia plan of operation. There is an approved hospice waiver for six (6) residents. Facility has a required infection control plan. Facility has a required emergency and disaster plan. Emergency disaster drills are being conducted as required; Last drill was conducted on 1/16/26 on Emergency Utility Shut Down The facility does have emergency food, water, and supplies to meet the "72 hour shelter in place" requirements. Facility has a fire clearance approval for a total of six non-ambulatory, of which one (1) may be bedridden. Fire extinguishers, two (2), were charged, in the green. Facility has a working carbon monoxide detector. All smoke alarms are hard wired and working appropriately. All exits were clear and unobstructed. LPA reviewed five (5) resident files. Files were complete. LPA reviewed five (5) staff files; All staff have criminal record clearance. Staff have first aid certification and CPR certification. LPA reviewed staff training. Continued on LIC809C.. LPA toured the facility with the Administrator. All medications were locked up and inaccessible to residents in care. All cleaners/disinfectants were locked up and inaccessible to residents in care. Sufficient food supply. Sufficient linens, hygiene products, paper products, furnishings, cleaners/disinfectants, and personal protective equipment (PPE). LPA observed sufficient lighting in all resident rooms, common areas, bathrooms, and hallways. Bathrooms had grab bars, and non-slip flooring/mats for resident use. LPA is requesting the following documents be updated and submitted by 5/27/26: LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610E- Emergency Disaster Plan (ensure to review and update as needed/required-no changes submit copy of review page) If changes submit plan copy Infection Control Plan (ensure to review and update as needed/required- no changes submit copy of review page)- If changes submit plan copy LIC400- Handling of Client Cash Resources (include copy of surety bond if handling cash) Current Liability Insurance Resident Roster Copy of current Administrator Certificate There are no deficiencies cited today. Exit interview was conducted with Administrator Bana Solomon.