Routine inspection·December 16, 2025

On 12/5/2024 at 9:00 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection and met with staff care staff, Rachiel Dime. The Administrator Belen Rodrigues was informed over the phone about the purpose of the visit. The Administrator (Administrator holds a certificate #6021647740 expiration 12/16/26 arrived at the facility at around 1PM. LPA inspected the facility inside and out including but not limited to bedrooms, bathrooms, dining room, kitchen, living room and outdoor area. The facility’s temperature was maintained at 73 degrees Fahrenheit. Bathrooms have grab bars and non-skid mats. The facility has appropriate lighting throughout. Extra linens and towels were observed in the hallway closet. Hot water temperature measured 115 degrees Fahrenheit. There were sufficient supplies of perishable and non-perishable foods. First aid kit was observed completely and updated. Fire extinguisher was last inspected on 3/05/2025. Fire Drill last conducted 10/17/25. Emergency disaster plan last updated on 10/17/25. Facility has an effective liability from 1/17/25 to 1/17/26. LPA reviewed 6 resident files and 4 staff files. All staff are fingerprint cleared and associated to the facility. All staff have current First Aid and CPR training. Report continued on LIC 809c... Deficiencies observed: At around 10:40 am, LPA observed Clorox and Lysol spray in basket near front entrance. Chemical left underneath the sink. Disinfected wipes left in bathroom. LPA observed knives on table near front door. At around 10: 50am, LPA observed multiple expired and mold food including but not limited to salad dressing, cheese, salad, bell pepper, cans good, and ect. At around 11am, LPA observed containers with food are not labeled properly. At around 11:30am, LPA observed prescribed medication including but not limited to cream, in resident rooms. At around 12pm, LPA conducted files reviewed there is no Liability insurance. Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Exit interview was conducted and Appeal Rights were provided . Administrator agrees to check all residents’ rooms and lock all medication in a lock area. Administrator agrees to conduct training for all staff and submit proof to CCLD by POC date.