Facility Evaluation Report

On 1/12/2026 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to continued the annual inspection which originally started on 1/5/2026. LPA met with Administrator Marc Barcelona.

During the initial annual inspection on 1/5/2026 LPA found the following deficiencies which are being cited during todays visit.

LPA observed the fire exit from the laundry room exiting through the garage did not have an obstruction free path.

LPA observed scissors and a knife in an unlocked drawer in the kitchen. LPA also observed tools, paint, and other toxic solutions to be accessible in the garage.

LPA observed mediation and lancets in a kitchen cabinet which did not have a lock and was accessible to residents in care. Allergy medication was observed to be unlocked in a resident's.

LPA observed kitchen knives to be stored under the sink next to a dustpan and other cleaning items. The knives not being stored in a clean area mean the knives are not protected from contamination.

During file review LPA did not observe a hospice or home health care plan, and did not observe staff training for R1, R2, & R3' hospice & home health care plans.

During file review LPA observed R1's Magnesium Glycinate to be documented incorrectly.

Citations were issued under Title 22, deficiencies are noted on 809Ds. TSP offered and declined at this time.

Exit interview was conducted and a copy of this report LIC809, LIC809D, appeals rights were provided to Administrator Marc Barcelona.