Routine inspection·November 5, 2025

On 11/5/2025 at 12:30 PM, Licensing Program Analyst (LPA) Yasamin Brown arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Lisa Rodriquez, Director of Nursing and explained the purpose of the visit. Della DeLeon, Administrator arrived to the facility around 1:15 pm. The administrator currently holds a certificate (#7029111740) that expires on 10/20/2026. The facility’s fire clearance was approved for thirty-one (31) residents, eight (8) may be non-ambulatory. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area, and outside area. The facility consists of four (4) buildings and nineteen (19) total bedrooms. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 75 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 118.2 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and two (2) day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 4/15/2025. First aid kit was observed to be complete. LPA reviewed five (5) resident and five (5) staff files. Continue to LIC809C. (Continued from LIC809...) The following forms will be updated and submitted to CCLD by 11/12/2025: LIC610D: Emergency disaster plan LIC500: (Personnel Record) The following deficiencies were observed: At 2:15 pm, LPA observed that S2 was not fingerprinted and associated to the facility. At 2:30 pm, LPA observed unlocked medications in R1's room. At 3:00 pm. LPA observed that zero (0) out of five (5) staff members did not have their first aid certificates. *An immediate civil penalty of $500 will be assessed on today's date. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted with Della DeLeon, Administrator. A copy of the appeal rights, LIC421BG and this report provided.