Inspection Report Summary
Most inspections found no deficiencies, including the most recent report dated May 30, 2025, which had no issues noted. Earlier in 2024, the facility had several deficiencies related to unsecured medications, water temperature exceeding allowed limits, and use of an office as a resident bedroom, all of which posed health and safety risks but were addressed promptly by the administrator. Complaint investigations, such as the one in December 2024 regarding residents’ hygiene, were unsubstantiated. Other reports showed a clean and well-maintained environment with no enforcement actions or fines listed in the available reports. The overall trend suggests improvement, with recent inspections consistently free of deficiencies.
Deficiencies per Year
4
3
2
1
0
High
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
May 30, 2025
Visit Reason
The inspection was an unannounced annual visit conducted as a required one-year licensing inspection of the adult residential facility for the elderly.
Findings
The facility was observed to have appropriate living conditions, including comfortable seating, adequate food supplies, safety measures such as locked knives and cleaning solutions, functioning smoke and carbon monoxide detectors, and proper water temperature. Resident and staff records were reviewed, and no specific deficiencies were detailed in the report.
Report Facts
Water temperature: 106.1
Number of residents: 5
Facility capacity: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rey Medel | Administrator | Administrator present during inspection and named in the report |
| Melissa Spaeth | Licensing Program Analyst | Conducted the inspection and authored the report |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Dec 6, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted to address an allegation that staff do not ensure that residents' hygiene needs are being met while in care.
Findings
Based on interviews with five residents and three staff members, the allegation was found to be unsubstantiated as residents confirmed they receive assistance with their daily needs and staff reported no complaints.
Complaint Details
The complaint alleged that staff do not ensure residents' hygiene needs are met. After investigation including interviews and document review, the allegation was unsubstantiated.
Report Facts
Residents interviewed: 5
Staff interviewed: 3
Total staff: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the complaint investigation. |
| Rey Medel | Administrator | Facility administrator who met with the Licensing Program Analyst and confirmed census. |
| Troy Agard | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 3
May 8, 2024
Visit Reason
An unannounced annual visit was conducted as a required one-year inspection to evaluate compliance with licensing regulations for an adult residential facility for the elderly.
Findings
The inspection found several deficiencies including unsecured medications in the laundry room, water temperature exceeding the allowed maximum, and use of a designated office as a resident bedroom. The administrator took immediate corrective actions such as locking the laundry room and adjusting water temperature.
Severity Breakdown
Type A: 3
Deficiencies (3)
| Description | Severity |
|---|---|
| Laundry room was not locked and a staff member's medication was unsecured, posing an immediate health and safety risk. | Type A |
| Water temperature tested at 126 degrees F, exceeding the maximum allowed 120 degrees F, posing an immediate health and safety risk. | Type A |
| Designated office was being used as a resident room for a non-ambulatory resident, which is not permitted. | Type A |
Report Facts
Capacity: 6
Census: 6
Water temperature: 126
Water temperature: 120
Deficiency count: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the inspection and documented findings |
| Troy Agard | Licensing Program Manager | Supervisor overseeing the inspection |
| Rex Retolado | Administrator | Facility Administrator involved in inspection and corrective actions |
| Rey Medel | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Nov 2, 2023
Visit Reason
An unannounced annual visit was conducted as a required one-year inspection of the adult residential facility for the elderly.
Findings
The Licensing Program Analyst observed the facility's environment, including living areas, kitchen, bathrooms, bedrooms, staff room, laundry room, hallway closet, garage, backyard, and smoke/carbon monoxide detectors. No deficiencies were found during the inspection.
Report Facts
Water temperature: 107
Capacity: 6
Census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melissa Spaeth | Licensing Program Analyst | Conducted the inspection and authored the report |
| Rex Retolado | Administrator | Facility administrator present during inspection |
| Troy Agard | Licensing Program Manager | Named in report header |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Apr 25, 2023
Visit Reason
The visit was conducted regarding an incident report dated 04/15/2023 involving a resident fall and subsequent hospital visit.
Findings
No health or safety issues were observed during the facility tour. The incident report was corrected during the visit. There are no deficiencies to report at this time.
Report Facts
Residents present: 6
Facility capacity: 6
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jun 10, 2022
Visit Reason
The inspection was a required unannounced 1-year visit to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be clean, well-maintained, and compliant with all regulations. No deficiencies were reported during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rex Retolado | Administrator | Met with the Licensing Program Analyst during the inspection and confirmed census. |
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