Routine inspection·November 13, 2025

Licensing Program Analyst (LPA) Kelly Dulek conducted a required annual visit. LPA was initially met by staff who called the Administrator Karthik "Raj" Kanakaraj, who arrived at the facility shortly after the visit began. Entrance interview conducted. Starting at 02:26PM, LPA along with Administrator, conducted a tour of the physical plant. The facility is single-story with six resident bedrooms, three bathrooms and one staff room. The fire extinguisher was purchased 11/05/2025 and appeared fully charged. No hazards were observed. Bedrooms: The resident bedrooms were properly furnished with clean linens and adequate lighting. Bathrooms: LPA observed bathrooms were clean, properly supplied and had functional fixtures. The LPA observed grab bars and slip-resistant surfaces in all bathrooms. Residents have sufficient amounts of supplies for personal hygiene. The hot water temperature was measured in a common bathroom at 109.6 degrees Fahrenheit, which is within the required limit of 105-120 degrees Fahrenheit. Kitchen : The kitchen appeared clean and the appliances and fixtures functional. The LPA observed a sufficient amount of perishable and non-perishable food at the facility. Knives are stored in a locked cabinet. Medications are stored in a separate locked cabinet in the kitchen. Common Areas: These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. There is a fireplace in the living room, which is covered with a screen. The facility maintained a comfortable temperature. Report continued on LIC809C Garage/Laundry room: The facility has a laundry room where the washer and dryer are held. The laundry room leads to the garage where cleaning supplies and disinfectants are kept, and additional PPE supplies are stored. The Garage remains locked and inaccessible to the residents in care. Surrounding Grounds (Outdoors) : There was a shaded area with proper furniture for outdoor use. There are no bodies of water on the premises. All passageways were clear and free from hazard. Interviews: During the facility tour the LPA conducted one (1) resident interview and two (2) staff interviews. No immediate concerns were identified. Records: LPA reviewed five (5) residents' files and five (5) staff files. All files observed were complete and contained all required documents. Medications: Medications review began at 03:15PM. LPA reviewed medications for 2 (two) residents. Medications are centrally stored and locked in a cabinet in the kitchen area. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. Emergency Disaster/Infection Control Plan: During today's visit, LPA reviewed the facility's emergency disaster plan, which was complete and updated annually as required. The facility conducts evacuation drills quarterly with staff on all shifts, with the last completed drill on 09/30/2025. The facility's infection control plan was observed to be complete, reviewed and updated as required. No deficiencies were observed. Exit interview conducted and report issued.