Routine inspection·July 1, 2025

On 7/1/2025 at around 9:00am Licensing Program Analyst (LPA) Kelly Nguyen arrived unannounced to conduct an annual required inspection and met with Assistance Administrator Alejandria Bautista, and Administrator (ADM) Romulo Bautista. LPA with Assistance Administrator inspected the facility inside and out including but not limited to 4 resident rooms, 2 bathrooms, dining area, garage, and backyard. LPA observed sufficient supply of perishable and nonperishable foods. Hygiene products, towels, sheets and warm blankets were observed. Bathrooms were observed with grab bars and nonskid mat for safety of residents. Fire extinguisher in the kitchen appears full was last inspected on 8/15/2024. First aid kit was complete. Last fire drill was conducted on 6/10/2025. Hot water temperature measured at 108.3-degree Fahrenheit. Smoke detectors and carbon monoxide were in operating condition during visit. At 11:30 am, LPA reviewed 4 resident files and 4 staff files. 4 out of 4 staff have TB on files, LPA reviewed medication and log. Report continues on LIC 809c.. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 07/08/2027: LIC 500 Personnel Report LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 400 Affidavit Regarding Client/Resident Cash Resources LIC 402 Surety Bond LIC 610E Emergency Disaster Plan No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.