Miko Inn

Type of visit: Required - 1 Year

On July 31, 2026 Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one year inspection. LPA met with the facility manager's Rey Medel and the purpose of the visit was discussed. Facility is licensed to serve 6 non- ambulatory residents age 60 and over . The facility has an approved hospice waiver for 3 residents. Three of the residents are diagnosed with dementia. Three of the residents receiving hospice care services. One resident receiving home health. The facility does not handle any of the residents’ money. This home is a single story home consisting of: (6) resident bedrooms, (5) Full bathroom, Entrance room , living room/dining area, kitchen (washer and dryer in kitchen), garage and an outdoor shaded patio area. LPA toured the Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. The resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place. Report continued on LIC809C. The hot water temperature measured between 105.7F. The Residents bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. The Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. The fire drill May 20, 2026. The facility fees are current. No deficiencies were cited. An exit interview was conducted. A copy of the report was provided to the facility manager Rey Medel.the state’s words, verbatim · CDSS document, Jul 31, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Sparkle Day conducted an unannounced visit to the above facility. The purpose of today’s visit was to conduct the one-year inspection. LPA met with Nawal Sfeir , Administrator and the purpose of the visit was discussed. Facility is licensed to serve 6 non- ambulatory residents age 60 and over . The facility has an approved hospice waiver for 3 residents. Three of the residents are diagnosed with dementia. Three of the residents receiving hospice care services. One resident receiving home health. The facility does not handle any of the residents’ money. This home is a single story home consisting of: (6) resident bedrooms, (5) Full bathroom, Entrance room , living room/dining area, kitchen (washer and dryer in kitchen), garage and an outdoor shaded patio area. LPA toured the Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, water temperature measured between 110.1F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors were working properly and fire extinguisher was fully charged. Carbon monoxide detector was operational. First Aid kit was available. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA observed the following deficiencies and issued a citation. (see 809-D) Exit interview conducted with Nawal Sfeir, Administrator. A copy of this report was provided at time of visit.the state’s words, verbatim · CDSS document, Jul 16, 2025

Type of visit: Case Management - Other

On 05/30/25, Licensing Program Analyst (LPA) Troy Watson made an unannounced case management visit regarding the relocation of 2 residents relocated from Palisades Villa #197607174 to the facility listed above due to mandatory evacuation orders from Fire Advisory. LPA Watson met with the Administrator Nawal Sfeir and explained the reason for the visit. During the visit, LPA Watson conducted a health and safety check. LPA reviewed medication administration records (MARS) to obtain the names and date of birth from the Miko Inn Facility resident#1-resident #2 (R1 – R2). Per interview of the Administrator Nawal Sfeir, two residents have been relocated to Miko Inn. The facility has sufficient beds, bedding, hygiene supplies and linens. The facility has 6 bedrooms and 5 five bathrooms. The kitchen has sufficient two-day perishables and seven-day non-perishable food supplies. Medications and MARS for the Palisades Villa residents have been transferred to Miko Inn and is in the Miko Inn computer system. Residents#1-Residents#2 (R1-R2) require incontinence care, resident#1 is non- ambulatory and resident# 2 is non-verbal, and both have standby assistance and are continent requiring wheelchairs. CONTINUED ON LIC9099-C The Licensee stated each resident uses different pharmacies for their medication and the facility can maintain the same level of continued care for the residents. There is sufficient staffing available to provide care for all residents relocated from Palisades Villa. It has been verified that a routine fire inspection for Miko Inn was conducted 09/02/2023. Miko Inn’s fire inspection started on 09/02/2023 and testing was complete on 09/02/2023 and a fire drill was conducted on 04/2025. The licensee confirmed all families, and responsible parties, for Palisades Villa residents have been notified about their relocation either via phone calls, texts, or emails. An exit interview was conducted with the Administrator Nawal Sfeir and a copy of this report was provided.the state’s words, verbatim · CDSS document, May 30, 2025

Type of visit: Case Management - Other

On 4/15/2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced visit regarding the relocation of three (3) residents from The Palisades Villa, #197607174, 16629 W. Sunset Blvd. Pacific Palisades, CA 90272 to the facility listed above due to mandatory evacuation orders from Fire Advisory. LPA met with Nawal Sfeir, Administrator and was explained purpose of the visit. Miko Inn's last fire drill was on 5/15/2024 and the next drill will be conducted on or before 4/30/2025. Per Administrator, Newal Sfeir residents are currently residing from the relocation /evacuation order. The facility has sufficient beds, bedding, hygiene supplies and linens. The facility has five (5) bathrooms and six (6) bedrooms. The residents eat at the same time in their rooms or in the family room. LPA observed a sufficient amount of food including a two-day supply of perishable and seven-day of non-perishable food supplies. Medications and MARS of The Palisades Villa residents have been transferred to Miko Inn which are located and locked in the office/storage area. There are currently three (3) Residents who require incontinence care and are non-ambulatory requiring wheelchairs. Nawel Sfeir stated each resident uses different vendors, pharmacy and home health agencies, the facility can maintain the same level of continued care for the residents. There is sufficient staffing available to provide care for residents of both facilities. The Administrator stated the current residents at Miko Inn will not be affected by this relocation. LPA observed and verified that there was one (1) Support Staff from The Palisades Villa Facility to assist with care of the residents. An exit interview was conducted where this report was discussed and provided to Administrator Nawal Sfeir at the conclusion of the visit. Medications and MARS of The Palisades Villa residents have been transferred to Miko Inn and located in the living room. Residents require incontinence care and are non-ambulatory requiring wheelchairs. The Administrator stated each resident stills use different vendors, pharmacy and home health agencies, the facility can maintain the same level of continued care for the residents. There is sufficient staffing available to provide care for residents of both facilities. The Administrator stated the current resident at Miko Inn will not be affected by this relocation. An exit interview was conducted with the Administrator Nawaz Sfeir and a copy of this report was providedthe state’s words, verbatim · CDSS document, Apr 15, 2025

Type of visit: Case Management - Other

On 02/12/25, Licensing Program Analyst (LPA) Yolanda Rosser conducted an unannounced visit regarding the relocation of Five (5) residents from The Palisades Villa, #197607174, 16629 W. Sunset Blvd. Pacific Palisades, CA 90272 to the facility listed above due to mandatory evacuation orders from Fire Advisory. LPA met with Nawaz Sfeir, Administrator explained purpose of the visit. LPA was provided entrance to facility by Administrator. Miko Inn's last fire drill was on 05/15/2024. Per Administrator, five residents are currently residing from the relocation /evacuation order. One resident will be leaving facility today. The facility has sufficient beds, bedding, hygiene supplies and linens. The facility has five bathrooms. Per Administrator, residents eat at the same time in their rooms and in the large family room. The kitchen has sufficient two-day perishable and seven-day non-perishable food supplies. Medications and MARS of The Palisades Villa residents have been transferred to Miko Inn and located in the living room. Residents require incontinence care and are non-ambulatory requiring wheelchairs. The Administrator stated each resident use different vendors, pharmacy and home health agencies, the facility is able to maintain the same level of continued care for the residents. There is sufficient staffing available to provide care for residents of both facilities. The Administrator stated that current Miko Inn residents will not be affected by this relocation. An exit interview was conducted with the Administrator Nawaz Sfeir and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 12, 2025

Type of visit: Case Management - Other

On 02/12/2025 LPA Yolanda Rosser was informed by Administrator Nawal Sfeir after conducting case management visit ' medication and MARS is now located in office in secured locked cabinet. LPA viewed cabinet in office to be secured and locked. Exit interview was conducted and a copy of this report was provided to Administrator.the state’s words, verbatim · CDSS document, Feb 12, 2025

Type of visit: Case Management - Other

On 01/10/25, Licensing Program Analyst (LPA) Regina Cloyd made an unannounced visit regarding the relocation of six residents from The Palisades Villa, #197607174, 16629 W. Sunset Blvd. Pacific Palisades, CA 90272 to the facility listed above due to mandatory evacuation orders from Fire Advisory. LPA met with Staff Richard Delarama and explained the reason of the visit. LPA spoke with the Vice President of the Licensee, Nawal Sfeir, of both facilities over the phone. During the visit, LPA conducted a health and safety check. LPA reviewed medication administration records (MARS) to obtain the names and date of birth from The Palisades Villa residents (R1 - R6). LPA interviewed The Palisades Villa staff (S1-S3) and retrieved names. LPA reviewed and obtained residents names from Miko Inn. LPA interviewed staff and retrieved names for Miko Inn's staff. Miko Inn's last fire drill was on 05/15/2024. Per interview the licensee, six residents have been relocated to Miko Inn. The facility has sufficient beds, bedding, hygiene supplies and linens. The facility has five bathrooms. Per Staff, residents eat at the same time in their rooms and in the large family room. The kitchen has sufficient two-day perishable and seven-day non-perishable food supplies. Medications and MARS of The Palisades Villa residents have been transferred to Miko Inn and located in the living room. R1-R6 require incontinence care and are non-ambulatory requiring wheelchairs. The Licensee stated each residents use different vendors, pharmacy and home health agencies, but the facility can maintain the same level of continued care for the residents. There is sufficient staffing available to provide care for residents of both facilities. It has been verified that a routine Fire inspection and testing was complete on 09/02/2023 and a fire drill was conducted on 05/15/2024. The licensee confirmed all families, responsible parties, home health, and hospice agencies for The Palisades Villa residents have been notified about the relocation either via calls, texts, or emails. The licensee stated that current Miko Inn residents will not be affected by this relocation. An exit interview was conducted with the Vice President Nawal Sfeir over the phone and a copy of this report was provided to Staff Rosana Tan.the state’s words, verbatim · CDSS document, Jan 10, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Troy Watson conducted an unannounced visit to Miko Inn on 07/17/2024 at 9:56 am. The LPA met with the administrator Nawal Sfeir, and the purpose of the visit was explained. Facility is licensed to serve 6 non- ambulatory residents and currently has a census of (5) of which one may be bed ridden and the facility has an approved hospice waiver for three residents. Three residents are diagnosed with dementia and three residents are receiving hospice care services. The facility does not handle any of the resident’s money.This home is a single-story home consisting of: (6) resident bedrooms, (5) Full bathroom, (1) living room, kitchen with dining area, laundry room (located in the kitchen) and an outdoor shaded patio area. The resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew water temperature measured between 108.7 F – 113. F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards; doorways were free of obstructions. Kitchen was checked and observed to be within Title 22 regulations. Perishable and non-perishable food supply was checked. All cleaning solutions, hazardous items, and medications were securely locked and inaccessible to residents. Smoke detectors worked properly; the residence has two fire extinguishers that are fully charged. Carbon monoxide detector was operational. First Aid kits was checked and properly stocked with scissors, tape, gauze and certified manual available. No bodies of water were observed. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. No Deficiencies cited: An exit interview was conducted, and a copy of this report was provided to the Administrator Nawal Sfeir.the state’s words, verbatim · CDSS document, Jul 17, 2024