Routine inspection·January 17, 2026

Licensing Program Analyst (LPA) Zabel Chochian arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with staff and explained the reason for the visit.  Licensee Iris arrived shortly after. LPA and staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The LPA observed residents watching television in the living room. The LPA observed required postings throughout the common areas. LPA inspected the kitchen/food service area at approximately 1pm. Knives and sharp objects are stored in a locked drawer to the right of the stove. Some cleaning supplies were observed kept underneath the sink inaccessible to residents in care. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time. Office area located in the kitchen. LPA observed medication centrally stored and resident files securely stored in this area as well. The common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in the hallways cabinets.  A sufficient supply of PPE and toiletries were observed stored inaccessible to residents in care in a hallway cabinet. The facility maintained a comfortable temperature of 74 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were tested and observed operational at the time of the visit. LPA observed fire extinguishers to be fully charged and last serviced on June 15, 2025. The LPA observed four (4)  resident bedrooms , which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Interviews were conducted with three residents. The  resident bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. There is one (1) staff room. LPA observed room to be inaccessible to residents in care.  LPA also observed a laundry area, next to bedroom #5 inaccessible to residents in care with laundry supplies securely stored. All exits have functioning auditory devices and were operational at the time of the visit. There is an attached garage observed inaccessible to residents in care. LPA observed garage to store an additional fridge and freezer to store extra perishable food; extra incontinent supplies, linen, PPE , as well as additional furniture and medical equipment for facility use. LPA observed additional space walled off in the garage to store extra supplies for facility use. The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. There were no bodies of water noted at the time of the visit. Records review began at approximately 1:45pm, six (6) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Five (5) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were observed to be in order at this time. Interview was conducted with two staff. LPA also reviewed the facility Emergency Disaster and Infection Control Plan. Licensee/Administrator confirmed both plans are updated/reviewed. Medications review began at approximately 3pm. All medications including PRNs were labeled, stored and inaccessible to residents in care. Medications were observed to be administered as prescribed at this time. The LPA requested the following documents to be sent to the office: current LIC500 Personnel Report and a copy of the facility’s liability insurance. No deficiencies cited during todays visit. Exit interview conducted. A copy of the report was provided to License