Routine inspection·March 4, 2026

Licensing Program Analyst (LPA) Brian Balisi 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 Marie Mendez arrived shortly after.  LPA 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. LPA inspected the kitchen/food service area at approx. 10:20 a.m. Knives and sharp objects are stored in a locked drawer to the left of the stove. No cleaning supplies were observed kept in the kitchen area. 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. There is an attached garage. LPA observed garage to be inaccessible to residents in care. LPA observed additional fridge and freezer to store extra perishable food. LPA also observed additional non-perishable supplies, canned goods, PPE, extra incontinent supplies, as well as additional furniture and medical equipment for facility use. Laundry area was located in the garage as well. At the time of the visit, 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 hallway cabinets. Board games and other activities were observed throughout the facility. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguishers to be fully charged and serviced 08/11/2025. LPA observed five (5) resident bedrooms total. There is also one (1) bedroom designated for staff use. Resident bedrooms were observed furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Bathrooms were observed to be 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. LPA observed staff room to be inaccessible to residents in care and empty at the time of the visit. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. The backyard has a covered outdoor area equipped with furniture including tables and chairs for resident use. The LPA observed two (2) self-latching gates with clear passageways clear of obstruction. There were no bodies of water noted at the time of the visit. Records review four (4) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. All records were observed to be in order at this time.  Six (6)  Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Medication review,  medications for all residents  were observed. All medications were stored properly and were appropriately documented on their respective centrally stored medication and destruction record sheets. No deficiencies were observed during medication review. Infection control / Emergency Disaster plan: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster drills are to be conducted quarterly; the facility’s last emergency disaster drill was conducted on 01/28/2026.  The facility’s emergency disaster plan is up to date and is adequate. Both the infection control plan and the emergency disaster plan are reviewed/updated annually by the facility’s administrator. Smoke detectors and carbon monoxide detectors were tested, all alarms were functional at the time of the visit. The LPA obtained the following documents at the time of visit: LIC500 Personnel Report, LIC9020 Client Roster,  and a copy of the facility’s liability insurance. Interviews were conducted during the visit. Exit interview conducted and copy of report issued.