Hillsong Senior Living and Hospice

Type of visit: Required - 1 Year

On 01/16/2026 at 1:00PM, Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to conduct the required annual visit to the facility. LPA met with Administratror/Licensee, Carina White and introduced self and stated the purpose of the visit. LPA was informed that there are currently 6 residents in care. The facility is approved for a Hospice Waiver for 6. The facility has 4 bedrooms, 3 bathrooms, kitchen, dining area, living room, office, laundry, attached two car garage and backyard. LPA completed a walk through of the facility, review of records and medication audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 75 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 118 degrees Fahrenheit. The facility is equipped with operational smoke detectors, a carbon monoxide alarm, charged fire extinguishers and first aid kit with book. Posters such as; the personal rights, emergency disaster plan, CCLD complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed to be locked and inaccessible to residents. There are no bodies of water, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, two side gates with self-latching handle on the left and right side of the house that leads into the backyard was observed. Record Review: LPA reviewed staff and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed all of the files to be complete. No deficiencies were cited during this visit. An exit interview was conducted where this report LIC809, and LIC809C were discussed and copies were provided to Administrator/Licensee, Carina White.the state’s words, verbatim · CDSS document, Jan 16, 2026

Type of visit: Required - 1 Year

On 01/24/2025 at 9:11AM, Licensing Program Analyst (LPA) Renese Howell-Small arrived unannounced to conduct the required annual visit to the facility. LPA met with Licensee, Carina Davis and introduced self and stated the purpose of the visit. LPA was informed that there are currently 6 residents in care. The facility is approved for a Hospice Waiver for 6. The facility has 4 bedrooms, 3 bathrooms, kitchen, dining area, living room, office, laundry, attached two car garage and backyard. LPA completed a walk through of the facility, review of records and medication audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 75 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 124 degrees Fahrenheit. The facility is equipped with operational smoke detectors, a carbon monoxide alarm, charged fire extinguishers and first aid kit with book. Posters such as; the personal rights, emergency disaster plan, CCLD complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. There was a designated storage space for resident/staff files. Medications were observed to be locked and inaccessible to residents. There are no bodies of water, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, side gate with self-latching handle on the left side of the house that leads into the backyard. Record Review: LPA reviewed staff and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA reviewed resident files for admission agreements, updated physician reports, and needs and services plans. No deficiencies were cited during this visit. An exit interview was conducted where this report LIC809, and LIC809C were discussed and copies were provided to Licensee, Carina Davis.the state’s words, verbatim · CDSS document, Jan 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to this facility for a required annual inspection. LPA met with facility staff who notified Licensee Carina Davis, who arrived shortly during today's visit. The facility is approved for a Hospice Waiver for six (6) residents. Physical Plant: The facility is operating within capacity and not beyond the conditions of the license. There are no pools or other bodies of water located on the premises. The facility is being maintained at a comfortable temperature for residents for common areas. All ramps and passageways are kept free of obstruction. Bathrooms have grab bars for each toilet, bathtub and showers used by residents. Fire safety plan includes fire extinguishers purchased on 02/07/2024 and fire alarms. Carbon monoxide detectors are present in the bedroom hallway. Kitchen and Food Service: LPA was present during lunch time. Food provided to residents appears to be of the quality and in the quantity necessary to meet resident needs. There is at least a two day supply of perishable food items and a seven (7) day supply of non-perishables. The refrigerator and separate freezer are maintained within regulatory temperatures. Medication, Care, and Supervision: The facility has ensured sufficient and competent staff to provide the services needed to meet resident needs. Chemicals, sharps, and hygiene items are stored inaccessible to residents. LPA reviewed centralized medications list and inspected medications. LPA found medications kept in their original containers and appear to be dispensed according to the physician's orders. Resident and Staff Files: LPA reviewed a sample of staff and resident files. Staff files had the required documentation including a health screening report and proof of background clearance. Resident files had the required documentation including admission's agreement, appraisal and/or needs and services plan, and updated physician's reports. Current first Aid/CPR certificates are on file. LPA reviewed training for Dementia care and Activities of Daily Living. Operations and Administration: Emergency and Disaster Plan is present. Licensee is present in the facility a sufficient amount of hours and their administrator certification is up to date. The required licensing and ombudsman posters are posted. Residents rights are posted and a copy is kept the resident's file. No deficiencies were cited during this visit. An exit interview was conducted where this report was discussed and provided to Licensee Carina Davis.the state’s words, verbatim · CDSS document, Feb 12, 2024