Routine inspection·February 23, 2026

At approximately 9:30AM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a Required 1 Year annual inspection and met with Staff Members, Lutgarda Marquez, Caregivers and explained the purpose of the visit. Jovita Bollisos, Administrator arrived at approximately 9:45AM. LPA conducted a tour of the facility and observed the following: the facility consists of 4 bedrooms 3 bedrooms are occupied by residents and 1 is occupied by staff and 2 shared bathrooms. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. There is a sufficient supply of hygiene products, paper products, and linens available for residents use. LPA reviewed 6 Residents records. LPA reviewed 3 staff files. Administrator's Certificate (6011284740) was current with an expiration date of 10/26/26. Continued on LIC809C. Facility's fire extinguishers were observed to be full. Smoke detectors and carbon monoxide detectors were tested and operational. Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility has a surety bond effective 6/1/24 to 6/1/27 and Liability Insurance effective 7/07/25 to 7/7/26. Deficiencies observed by LPA during tour: · At 10:30AM LPA observed molded fruit in the plastic bag in the refrigerator. · At 10:35AM LPA observed unlocked medication inside RM 1. . At 10:40AM LPA observed staff using RM1 closet to store their personal belongings. · At 10:45AM LPA observed unlocked chemical cleaning in the bathroom cabinet and backyard. . At 11:30AM LPA observed staff files are incomplete during files review. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. A copy of this report and appeal rights provided.