Routine inspection·April 24, 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. Administrator Venis Caccam was unable to be onsite for the visit at this time, but stated staff can sign in their place.  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. 09:40 a.m.  Knives, sharp objects are stored in a closed plastic container 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. Dining room furniture was observed to be in good condition. Medication cabinet located next to the dining room was observed to be locked. Board games and other activities were observed stored on a shelf next to the medication cabinet. At the time of the visit, the common area furniture's were observed to be in good condition. 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 last serviced 04/17/2026.  There is a staff room, which was observed to be empty and inaccessible to residents in care. LPA also observed a laundry area by the master bed room inaccessible to residents in care. LPA observed four (4)  resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The  resident restrooms 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 in each restroom between 105 - 120 degrees Fahrenheit. LPA observed hallway cabinets to store extra sheets and linen for resident use. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings by the entry way. There is an attached garage observed inaccessible to residents in care. LPA observed garage to store an additional fridge to store extra perishable food, extra incontinent supplies,  PPE , canned goods, as well as additional furniture and medical equipment for facility use.  LPA observed a sufficient amount of emergency food and emergency supplies stored in a shelf next to the freezer. In an emergency staff would gather the three containers and distribute as needed. LPA also observed a backup generator stored in the garage as well. 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 observed during the visit. LPA observed emergency bags stored by the entrance way containing clothes, flashlights and other items to use in the event of an emergency. Records review, five (5) client records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Four (4)  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 .Cash resources were reviewed for residents in care. All cash resources were documented appropriately and accurately and were accompanied by corresponding purchase receipts. No deficiencies were observed during cash resource review. 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 conducted monthly; the facility’s last emergency disaster drill was conducted on 04/16/2026 The facility’s emergency disaster plan is up to date and is adequate at this time. 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. During today’s visit LPA obtained a copy of the facility’s LIC 500, Limited Liability and resident roster. Exit interview conducted and copy of the report was issued.