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25 | On April 22, 2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct the Annual Inspection visit. This visit was conducted concurrently with the Post Licensing visit. LPA met with Charlotte Lewis and stated the purpose of the visit. Charlotte identified herself as the new administrator since February 2026. Per review of Guardian, she was associated to this facility on January 17, 2026.
Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas.
LPA inspected 5 of 9 resident bedrooms and 2 of 5 bathrooms. Room temperature was maintained at 73 degrees F. The hot water temperature was measured at 112 degrees Fahrenheit. 3 fire extinguishers were observed throughout the building. LPA observed sprinkler system. Smoke and carbon monoxide detectors were observed throughout.
In the kitchen, the facility maintained at least a seven-day supply of non-perishable foods and a two-day supply of perishable foods. Cleaning supplies, dish soaps, aerosol spray cans, and dish detergents were observed accessible inside unlocked cabinet located under the stove.
Laundry room was inspected. Laundry soaps and hygiene supplies were observed in an accessible cabinet. The lock of the cabinet can be opened without a key. Other cleaning supplies were also in a cabinet that was accessible to residents.
Outdoor area was inspected. LPA observed covered areas with outdoor furniture. Ramps, fence, and exit gate were observed to be in good repair at this time. LPA observed the 3 exit gates at the back to be locked with padlocks.
Deficiencies were observed. Citations will be assessed in the annual report dated April 22, 2026.
Exit interview was conducted and a copy of this report and appeal rights were provided.
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