Post-licensing visit·October 2, 2025

On 10/02/2025 Licensing Program Analyst (LPA) Jill Nakagawa conducted a post-licensing inspection and was greeted by Facility Director Maggie Perri. Fire Clearance has been approved for 23 non-ambulatory, 10 of which may be bedridden. There were 12 residents and 4 staff at the time of inspection. LPA conducted a tour of the facility grounds and found them to be clear of debris. The property houses goats and chickens, fruit trees and many safe pathways for residents to enjoy the outdoors. The interior of the facility was clean and odor-free. Residents were enjoying games and socialization during the visit. The facility is homey and decorated for Fall. Fire extinguishers throughout the facility were found to be last charged on 11/14/2024. Smoke detectors and carbon monoxide detectors were found to be in working order. Last fire drill was held on 06/18/2025. Water temperature was measured throughout the facility and found within regulation between 105 & 120 degrees F. An additional supply of hygiene, continence and paper products are located in a secured storage closet. Hallways are illuminated around the clock for accessibility and resident safety. Bedrooms had required furnishings and linens. Kitchen was clean and sanitary and well-stocked with perishable and non-perishables, as required per regulation and sufficient for the 12 residents in care. There is a sufficient amount of dishes and cooking supplies with sharps and other hazardous items kept secured in designated drawer. A sample menu is posted in the kitchen located on the refrigerator and indicates a healthy and balanced set of meals for residents in care. Cleaning products and other toxins and chemicals are kept out of client access and found secured in the office and laundry room cabinets. Continued on 809-C Continued from 809.... Medications are centrally stored and secured in locked medication carts in both buildings with Centrally Stored Medication Records and several other medication related forms on file. Client specified files including care plans, medical reports and dietary restrictions are secured in an office located off the main building with all appropriate staffing records, program operation documentation and emergency disaster information The second building is called La Casita and has four residents. There is a kitchen, living room and dining room with a large deck for residents to enjoy. All required furnishings and additional amenities were in place. Residents from both houses socialize together from time to time. La Casita has a large deck with seating to observe the pasture nearby, which has horses and goats. The facility has an up-to-date Activity Calendar with activities planned throughout the day. No deficiencies found at the time of inspection. No citations issued. This report was reviewed with Facility Director and a copy was provided to the Licensee.