Routine inspections were consistently clean, with no deficiencies noted in any reports. The most recent inspection on June 30, 2025, found the facility fully compliant in all areas, including physical plant conditions, staff training, and medication storage. Previous inspections dating back to July 26, 2021, also showed no issues, covering infection control, safety equipment, and emergency preparedness. There were no complaints or enforcement actions reported during this period. This long record of clean inspections suggests the facility has maintained consistent compliance over time.
An unannounced required annual visit was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The inspection found no deficiencies. The facility was inspected for physical plant conditions, staff training, resident records, medication storage, and food supply, all of which were satisfactory.
Report Facts
Hospice residents present: 3Fire drill date: May 9, 2025Hot water temperature range: 118Hot water temperature range: 120Food supply duration - perishable: 2Food supply duration - non-perishable: 7Staff training records reviewed: 2Facility bedrooms: 7Bathrooms: 2
Employees Mentioned
Name
Title
Context
Andrea Mendivil
Licensing Program Analyst
Conducted the inspection visit
Ron Wilkes
Administrator
Met with Licensing Program Analyst during inspection
Geene Paracuelles
House Manager
Met with Licensing Program Analyst during inspection
The inspection was an unannounced required annual visit to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be in compliance with no deficiencies noted. The physical plant, infection control practices, medication records, and safety equipment were all observed to be in proper condition.
Report Facts
Licensed capacity: 6Current census: 6Hospice waiver capacity: 4Water temperature range: 107Water temperature range: 116.6Facility temperature: 75Last fire drill date: Nov 16, 2023Liability insurance effective date: Jul 11, 2023Liability insurance expiration date: Jul 11, 2024
Employees Mentioned
Name
Title
Context
Jenifer Tirre
Licensing Program Analyst
Conducted the inspection and authored the report
Ron Wilkes
Administrator
Facility administrator present during inspection and exit interview
Christine Wilkes
Administrator
Current administrator with certification on file
Lourdes Montoya
Licensing Program Manager
Named as Licensing Program Manager overseeing the inspection
Licensing Program Analyst Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit.
Findings
The facility was toured and observed to be in compliance with regulations, including proper signage, emergency supplies, and resident files. No deficiencies were noted during the visit.
An unannounced visit was conducted for the purpose of a required annual inspection of the facility.
Findings
The facility was found to be in compliance with all regulations, with no deficiencies noted. The environment, emergency preparedness, resident files, and safety equipment were all observed to meet required standards.
Report Facts
Number of resident bedrooms: 6Number of bathrooms: 2Number of residents in care: 5Fire extinguishers: 1Medication supply: 30
Employees Mentioned
Name
Title
Context
Rose Enriquez
LVN Administrator
Met with Licensing Program Analyst during the visit and participated in the exit interview.
Jenifer Tirre
Licensing Program Analyst
Conducted the unannounced annual inspection visit.
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