The Residence

Type of visit: Required - 1 Year

At 12:30pm, on February 13th, 2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Licensee Meynard Marcos, announced who he was and the reason for the visit. Licensee and LPA conducted a full tour of the facility. This facility is a single story residential home with four resident bedrooms (two are dual occupancy), two full bathrooms (one is on-suite and one is for public use), and there is a half staff bathroom off the living room. The living room has setting and a TV for residents. There is a kitchen, dining area and office space. Access to the laundry area/garage is through a locked door for resident safety. LPA noted that the backyard and the front yard both have seating and shade for residents and visitors. During today's visit LPA observed the backyard fence was being replaced as scheduled maintenance at the facility and was completed by the end of the visit. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy freely. The facility has wired smoke detectors in each room that are all working and a carbon monoxide detector is in the hallway and functioning normally. LPA observed a fire extinguisher near the kitchen that was purchased on 3/10/2025 and in the green compression range. LPA tested facility hot water at 119.3*(f), within regulation temperatures 105*-120* (f). LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA noted that the facility has no obstructions in hallways, doorways or exits. Medications, and staff/resident records are locked in a cabinet in the office area. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records. LPA conducted a staff and resident file review. LPA and Licensee conducted a review of the annual care tool modules. There were no deficiencies cited at this time. Exit interview conducted, report signed, and report provided to the Licensee.the state’s words, verbatim · CDSS document, Feb 13, 2026

The state marks this report as 12 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Allegation investigated: Staff inappropriately touched a resident in care.

At 12:12 p.m. on 3/27/25 Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to the facility above to issue final findings. LPA met with Back-up Administrator Desingee Desiree Verry and explained the purpose of the visit. During the investigation, LPA Jeffries conducted an initial visit on 12/24/24 from 7:47am to 10:15am. LPA Jeffries conducted staff and client interviews and requested relevant documentation. On 1/16/25 from 10:00am to 10:30am, LPA Rankin conducted a collateral visit and interviewed Resident 1 (R1). Continued on 9099-C Unsubstantiated On the allegation: Staff inappropriately touched a resident in care. At this time, based on all interviews conducted by both LPAs, there is no evidence to support that a resident was inappropriately touched. All interviews with staff and administrator stated they have never witnessed Staff 1 (S1) being inappropriate with any resident and residents interviewed stated they feel safe and have not had issues with any staff. S1 was interviewed, where they recounted a situation that occurred approximately one or two weeks prior to the 12/24/24 visit. S1 stated during toileting, R1 was attempting to stand and started to lean forward, and S1 believe R1 would fall. S1 stated they reached out to support R1 and stop them from falling, and they inadvertently touched R1’s breast with one hand. S1 stated there was no malicious intention, and they were trying to protect R1 from falling and sustaining injury. S1 stated R1 had no comment during this interaction or afterward. S1 denied ever inappropriately touching a resident. Interview with R1 done by LPA Rankin resulted in R1 stating “Oh I like (S1)…(they) are very nice.” There was no concern or hesitation during the conversation. R1 even stated they believed the facility was holding their room for them, so they could return. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated at this time. Exit interview conducted, copy of report given.the state’s words, verbatim · CDSS document, Mar 27, 2025 · control 29-AS-20241220150220

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rankin arrived at 9:08 am to conduct a 1-year annual visit to the facility above. LPA met with Administrator Designee Desiree Verry and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Infection Control: The facility has a current Infection Control Plan. The bathrooms have toilet paper, paper towels, and hand soap. The facility has EPA approved disinfectant spray and cleaners. The facility has a 30-day supply of PPE. Physical Plant & Environment Safety: The fire extinguisher was last purchased on March 10, 2025. The facility has 4 resident bedrooms, 2 bathrooms currently occupying 4 residents. The facility has smoke and carbon monoxide detectors that were tested and working at the time of the visit. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid mats. The main pathways are clear of any obstructions. Resident room with cognitive resident has some items in the exit pathway, facility is working with resident to fine suitable containers and will move to a safe location. Facility is well lit inside and outside for safety. Disinfectant and cleaning solutions are inaccessible to residents in care and stored/locked in the garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use. Continued 809-C Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on July 11, 2025. The facility is approved for a capacity of 6. The fire clearance is granted for 6 non-Ambulatory. Hospice is approved for 2. Staffing and Training Records: The facility currently employs 3 full time staff, 1 part time staff and 2 administrators. Staff records are kept confidential. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements. Administrator file was reviewed and Administrator Certificate expires April 10, 2025. Staff have annual training completed for various subjects/topics and hours for 2024. Resident Records & Incident Reports: The facility keeps separate files on each resident confidential. Facility does submit incident reports to the department when required. LPA reviewed 4 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, LIC. 602A Physicians report, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, all forms were legible, and records are kept confidential. Food Service: The facility handles and prepares food safely. The facility has 2-day perishables and 7 day non-perishables to meet the food service requirement. All food is covered, stored, and marked appropriately. Cleaning solutions and equipment are stored separately from food supplies. Incidental Medical Services: Facility provides transportation or assist in providing transportation to medical and dental appointments when needed. The facility uses the Medication Administration Record (MAR) along with the Centrally Stored Medication and Destruct Records (CSMDR). LPA reviewed a sampling of residents’ medications, no labels were altered, no medications were expired, and all medications were kept in their original containers. Disaster Preparedness: The current emergency disaster forms were posted. The facility last conducted a quarterly disaster drill March of 2025. Emergency exits and telephone numbers were posted. Residents with Special Health Needs: The facility does accept dementia residents in care. The facility has 2 self-latching gates on side of the home. The facility does have 1 resident currently on hospice. The facility does not have delayed egress, locked doors or gates. Exit door alarms are working. Exit interview conducted and copy of report, was printed for Administrator.the state’s words, verbatim · CDSS document, Mar 27, 2025

The state marks this report as 8 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA Miller) arrived at 10:39 am to conduct a 1 year annual visit to the facility above. LPA met with Administrator Meynard Marcos and explained the purpose of the visit.A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Infection Control: The facility has a current Infection Control Plan. The facility has a sign in and out binder for visitors at entry with hand sanitizer. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. The facility has EPA approved disinfectant spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will have meals and medication delivered to rooms. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). Physical Plant & Environment Safety: The fire extinguisher was last charged and inspected on March 8, 2024 and a second extinguisher was purchased on February 17, 2024. All trash cans and wastebaskets have tight fitting covers. The facility has 4 resident bedrooms, 2 bathrooms currently occupying 4 residents. LPA was authorized to enter and inspect facility. The facility has smoke and carbon monoxide detectors that were tested. The lighting and lamps are sufficient for the use of the facility and for resident comfort. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid mats. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. Disinfectant and cleaning solutions are inaccessible to residents in care and stored in the garage. The facility has sufficient space inside and outside for activities and visiting. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use. Continued 809-C Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility has current liability insurance and expires on July 11, 2024. The facility is approved for a capacity of 6. The fire clearance is granted for 6 non-Ambulatory. Hospice is approved for 2. Staffing: The facility currently employs 3 full time staff, 5 part time staff and 2 administrators. Staff records are kept confidential. Files reviewed had current 1st Aid/CPR, Personnel Records/Application, Health screening with TB results, Criminal Record statements. Administrator file was reviewed for and . Administrator Certificate expires April 10, 2025. Personnel Records & Training: The facility keeps confidential files for each staff member. Staff have annual training completed for various subjects/topics and hours for 2023. Resident Records & Incident Reports: The facility keeps separate files on each resident confidentially. Facility does submit incident reports to the department when required. LPA reviewed 4 resident files for signed Admission Agreements, Personal Rights, Safeguard for property and valuables, LIC. 602A Physicians report, Pre-appraisals, Appraisals Needs and Services Plan, Emergency and ID forms, all forms were legible and records are kept confidential. Food Service: The facility handles and prepares food safely. The facility has 2 day perishables and 7 day non-perishables to meet the food service requirement. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees or lower. All food is covered, stored, and marked appropriately. Cleaning solutions and equipment are stored separately from food supplies. Continued 809-C Incidental Medical Services: Facility provides transportation or assist in providing transportation to medical and dental appointments when needed. The facility uses the Medication Administration Record (MAR) along with the Centrally Stored Medication and Destruct Records (CSMDR). LPA reviewed residents medications, no labels were altered, no medications were expired and all medications were kept in their original containers. Disaster Preparedness: The current emergency disaster forms were posted. The facility last conducted a quarterly disaster drill April 13, 2023. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full facility in an emergency. Residents with Special Health Needs: The facility does accept dementia residents in care. The facility has 2 self latching gates on side of the home. The facility does not currently have hospice residents in care. The facility currently has residents receiving Home Health services. The facility does not have delayed egress, locked doors or gates. Exit door alarms are working. Exit interview conducted and copy of report, citation, and appeal rights were issued and printed for Administrator.the state’s words, verbatim · CDSS document, Mar 11, 2024