Facility Evaluation Report

On 10/03/25 Licensing Program Analyst (LPA) Mario Leon made an unannounced annual inspection visit at the facility, using the care tool. LPA was met by staff one, Jeanette Jneid - House Manager (S1), and the purpose of the visit was explained. The facility is licensed to serve (6) elderly residents ages 60 and over. The fire clearance is approved for (2) ambulatory and (4) non-ambulatory, of which (4) may be bedridden. Bedridden in bedrooms #2, #3 and #5. Waiver/Granted for hospice care for (6). Currently, the facility has (4) residents.

LPA Leon toured the facility along with S1 . The two-story home is located in a residential area and consists of six (6) client bedrooms, three (3) bathrooms and the second story is reserved for staff. The home also features one (1) living room, one (1) Kitchen, a dining area and laundry area. All client rooms were checked. Mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Walls and floors were clean and in good repair. Bed linens, comforters and bath towels were adequately stocked at the time of visit. Bathrooms were found to have non-skid mats, stable grab bars, yet the water temperature was measured at an average of 136.83 degrees Fahrenheit (136.8°F) which is outside of Title 22 regulation. Two (2) deficiencies have been cited, please see LIC809D. Toilets and water faucets worked properly. Showers were free of mold/mildew, adequate lighting, and sufficient toiletries accessible to clients. LPA observed 3-days of perishable and at least 7-days non-perishable food supply, which was checked and was properly stored and stocked at time of visit. Carbon monoxide/smoke detectors were operational and fire extinguisher was fully charged and operational (last maintained on 08/22/2025), toxins and sharps were locked and inaccessible to clients. Medications were locked and inaccessible to clients, first aid kit was checked and in order, including manual was present. Outside grounds were toured and no bodies of water were observed. Shaded area in backyard was accessible. Exits/Walkways around the home were free of debris and hazards. REPORT CONTINUES, see LIC809C.