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25 | On 10/27/26 Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator Latoya Johnson as the purpose of the visit was explained. The facility is licensed to serve (6) bedridden residents ages 60 and over, and has an approved hospice waiver for (6). Annual Fees are past due (balance: $495, due date: 10/12/26, Invoice # Inv-0001423812). Liability insurance is active (Core Brokers Ins Services Exp: 07/13/27).
The facility is located in a gated community and it consists of : (6) resident bedrooms, (2) full bathrooms of which (1) is private, (1) half bathroom, kitchen, laundry area, living room/TV room, receiving room, dining area, a pantry/medication closet, shaded patio, and a garage that is used as an office. A land line was observed. There are no bodies of water or firearms on the premises. Resident bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to residents. A supply of perishable and non-perishable food was observed, the water temperature properly measured at 111.3 F.. Cleaning supplies, and toxins were stored and not accessible to residents. The last facility fire drill was conducted on 09/05/26 by the Fire and Safety Service Inc.. Operable smoke detectors/carbon monoxide in bedrooms and hallways were observed, (2) fire extinguishers are in the kitchen and hallway. First aid kits were observed throughout the facility, checked and fully stocked.
LPA conducted a records review of (3) staff records, (5) resident records, and (5) medication administration records, no discrepancies observed. Medications were centrally stored and properly locked.
Exit interview conducted, and a copy of this report was provided.
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