Garden Abode.

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Administrator Melissa Deussen and caregiver Rosita Soriano. The facility's license shows a maximum capacity of six (6) residents, two (2) of which may be ambulatory, two (2) non-ambulatory, and two (2) bedridden. Bedroom #2 approved for bedridden only, per the fire clearance. However, the license indicates another room (#1) as approved for bedridden, but this is not reflected in the fire clearance. LPA will send out an updated license to reflect the correct license comments. Additionally, the facility is approved for a hospice waiver for four (4). During today’s inspection there were two (2) residents in care, with none receiving hospice services. LPA and Administrator Deussen toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were non-compliant: A private bathroom sink on the 2nd floor was 135F and a common restroom sink on the 1st floor was 130.5F. Administrator Deussen adjusted the home's water heaters and water temperatures came down under 120F. Licensee will be having a handy-man come take a look at the water heaters to adjust further and ensure water temperatures are in compliant range moving forward. One Type A citation was issued for the hot water temperatures being above the compliant range of 105-120F, and details are noted on the attached LIC 809D page. Administrator Deussen stated that staff always assist residents for toileting and bathing and check water temperatures prior to starting. [Continued on LIC 809-C] 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 [Continued from LIC 809] Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients.  Medications were labeled, as required, and stored in locked areas. No pools or large bodies of water exist on the premises, however the facility features a small water fountain in the yard. LPA observed that the fountain was altered to prevent any pooling of water on its levels. Per Administrator Deussen, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were purchased within the last 12 months, dated for July 2026. Last staff emergency drill was conducted on 7/1/26 for the topic of fire. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. One deficiency was cited during the inspection. An exit interview was conducted with Administrator Deussen to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Administrator Melissa Deussen. The facility's license shows a maximum capacity of six (6), two (2) of which may be ambulatory, two (2) non-ambulatory, and two (2) bedridden. Approved room for non-ambulatory is the foyer and bedridden approved for bedridden to reside in back bedroom of the living room. Additionally, the facility is approved for four (4) hospice waivers. During today’s inspection there were four (4) residents in care. LPA and Administrator Deussen toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperature at taps accessible to clients were all compliant: 1st floor Bathroom sink 1 was 113F and bathroom 2 read at 116F. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives were locked and inaccessible to residents in care. [Continued on LIC 809-C] 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 [Continued from LIC 809] No toxic chemicals or poisons were accessible to clients.  Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Deussen, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. When inspecting the facility's fire extinguishers, LPA noted that there was no service tags on the extinguishers. Administrator Deussen stated they purchase new extinguishers annually but did not retain the receipt. As date of purchase could not be verified, a deficiency is being cited per Title 22 regulations and noted on the attached LIC 809D. In addition, a Civil Penalty is being assessed for a Zero Tolerance Violation regarding Fire Safety and are noted on the attached LIC 421IM in the amount of $500. LPA interviewed one (1) staff and zero (0) clients, and interviews did not reveal any licensing or regulatory concerns. LPA observed residents to be treated with dignity and care. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. One deficiency was cited during the inspection. An exit interview was conducted with Administrator Deussen to whom a copy of this report, the LIC 421IM, and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and disclosed the purpose of the visit to Caregiver Maria Latimre. Administrator Melissa Deussen also assisted the LPA over the telephone. The facility was licensed for a capacity six (6), of which two (2) may be bedridden in room # 2. The facility was also approved for a hospice waiver for four (4) residents. The LPA, accompanied by caregiver, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstructions and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, and stored in a locked area. No pools, nor bodies of water were observed on the premises. Per staff, no firearms, nor ammunition were kept at the facility. Carbon monoxide detectors, and facility telephone were all working. Fire extinguisher(s) were present. Required licensing postings were observed in visible areas of he facility. The LPA interviewed staff and reviewed multiple staff and client records/files. The LPA provided technical advise and cited deficiencies in an LIC 809D. A Plan of Correction was jointly formulated with Administrator Melissa Deussen.. An exit interview was conducted with Deussen, to whom a copy of this report, LIC 809D, and the Licensee/Appeal Rights (LIC9058), were provided.