LPA Tea reviewed three resident files and 2 staff files. Resident files and staff files contained all required documentation. Upon review of records, the facility is up to date with required quarterly emergency disaster drills, which was last conducted on January, 5 2026. AD Ozdemir's administrator certificate has an expiration date of April, 25 2026.

LPA toured the physical plant, checked food service, and the first aid kit. The facility is a one-story home, that has four resident bedrooms, two bathrooms, living room, dining area,, kitchen and garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and showers were free of mold/mildew. Water temperature measured between 117. 6 to 120.5 Fahrenheit degrees. LPA suggested to AD Ozdemir to lower the hot water. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards; doorways were free of obstructions. First aid kit had all the required elements including dressing, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked and

(Annual continuation on LIC809-C)

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

The fire extinguisher in the kitchen is fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade in the backyard. There is a barbecue grill in the backyard where residents and their family can use. There are two exit gates that are self-latching and operational on both sides of the house. LPA observed PPE supplies, emergency food and water stored in the backyard storage sheds and garage. Facility provides activities based on their personal choice. The staff likes the residents to be healthy by doing exercises and having them walk around the facility. At the time of the visit, LPA observed residents lounging in the living room watching television and one resident walking around in their walker in the facility.

LPA reviewed medication storage and administration. Medications are stored in a locked kitchen cabinet. Medications are being administered per physician order. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided.

Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with Administrator Alper Ozdemir and a copy of this report LIC809, along with the 809-C, LIC858, and LIC859 were read and provided to the facility.