Routine inspection·April 28, 2026

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct the required annual visit today at 09:45am. Upon arrival, the LPA was greeted by staff who then contacted the Administrator, Maaya Marri and informed them of the visit. The Administrator arrived at approximately 10:30am and the reason for the visit was explained. Entrance interview conducted. Beginning at 10:30am, the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The following was observed: Kitchen: The LPA inspected the kitchen/food service area at approximately 10:30am. Knives and sharps were observed in a kitchen drawer locked and inaccessible at the time of the visit. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. Cleaning supplies were observed under the kitchen sink inaccessible to residents at the time of the visit. Common Areas: This includes the living room and dining room. Furniture in the common areas was observed to be in good condition at the time of the visit. The facility maintained a comfortable temperature. Required postings were observed throughout the common space. Report Continued on LIC 809C... Report Continued from LIC 809... Garage: The garage was inaccessible to residents in care at the time of the visit. Washer and dryer were observed inside the garage. Detergents and toxins were observed locked at the time of the visit. The LPA observed an adequate amount of emergency food and water. Restrooms: There is one (1) restroom for residents’ use. Bathroom was clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathroom was sufficiently stocked with supplies and paper towels. Starting at 10:36am, the hot water temperature was measured in bathroom, and it measured within the required range of 105 – 120 degrees Fahrenheit. Bedrooms: There are five (5) bedrooms for residents’ use. Four (4) bedrooms are designated as private / single occupancy, and one (1) bedroom is designated as shared / double occupancy. Bedrooms were observed to be furnished appropriately with appropriate furnishings, and sufficient lighting. Additional clean linens and towels were observed in a closet by the main hallway. Staff bedroom observed on premises locked and inaccessible at the time of the visit. Backyard / Outdoors: The backyard has a covered patio area with patio furniture for residents’ use. The LPA observed two (2) locked sheds used for storage purposes. There is one (1) side gate with latching mechanisms. All passageways were observed to be clear of any obstructions. No bodies of water noted at the time of the visit. Records: Record review began at approximately 10:45am Six (6) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, preplacement appraisal, consent for treatment form, and updated/current appraisal & needs and services plan. All files were in order. Report Continued on LIC 809C... Report Continued from LIC 809C... Four (4) personnel files including the current Administrator’s file were reviewed for, but not limited to: personnel records, health assessments with negative TB test results, criminal record clearances, first aid/CPR training, and the appropriate yearly training. All personnel files were complete. The Administrator’s Certificate is valid until 03/17/2028. Emergency Disaster Planning: During today’s visit, the LPA reviewed the facility's emergency disaster plan, which was observed to be complete and recently reviewed/updated. Emergency disaster drills conducted quarterly as per regulation; last fire drill conducted on 03/08/2026. Medications: Medications review began at approximately 12:30pm. Medications are centrally stored and kept in a locked cabinet adjacent to the living room. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications appear to be administered as prescribed at the time of the visit. No citations issued. Exit interview conducted. A copy of the report was issued.