Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced for the purpose of conducting an Annual Inspection. Fire Clearance approved for 8 non-ambulatory, 2 of which may be bedridden. There were 7 residents and 2 care staff present at the time of inspection. LPA met with newly appointed Administrator, Ron-Mark Adriano.

LPA and Administrator toured the facility, which has 6 bedrooms, 3.5 bathrooms, and large family room and kitchen. LPA observed the facility to be clean and at a comfortable temperature of 74 degrees F with all exits free from obstruction. The fire department inspected the facility and found the Sprinkler System operational. LPA found the carbon monoxide detector to be operational during the inspection. The fire extinguisher was last charged on April 16, 2026 and was fully charged and operational. Water temperature was 113.9 degrees and is within acceptable range of 105 to 120 degrees F. There was sufficient perishable and non-perishable foods located in the kitchen. Knives and other hazardous items were locked and inaccessible to residents in care. Medications are locked in hall closet where it is inaccessible to residents in care. Cleaning products and other toxins are located in the locked laundry room and inaccessible to residents in care. There was a supply of linens, cleaners, hygiene products and paper products available for residents. All bathrooms designated for residents were supplied with paper towels and hand soap, and outfitted with grab bars and non-slip floors/mats. Resident bedrooms were inspected and had appropriate lighting and required furnishings and linens. Out door areas were set up with easy walking paths and there were shaded seating areas on the back patio.

A check of 5 resident and 3 staff records were found to be complete.

LPA and Administrator discussed updating Emergency Disaster Plan. Infection Control Plan was updated and current. Proof of Liability Insurance was provided. An LIC500 was requested.

No deficiencies were found at the time of inspection. No citations issued.