Routine inspection·July 8, 2025

On 07/08/2025 at 9:05 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Lauro Cayabyab, and explained the purpose of the visit. Administrator certificate is current and expires on 11/28/2025. LPA toured facility inside and out including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 6 total bedrooms which 5 bedrooms are occupied by the residents and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last serviced on 08/20/2024. At 9:48 AM, LPA reviewed 5 residents records. At 10:15 AM, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. At 11:45 AM, LPA reviewed two samples of residents’ medications. Continue to LIC809-C... Continue from LIC809... THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 9:35 AM, LPA observed the hot water temperature measured at 136.2 degrees F. At 9:19 AM, LPA observed cleaning chemicals unlocked in the laundry room and Lysol wipes in bedroom #5. At 9:23 AM, LPA observed unlocked medication in the kitchen fridge, prescribed medications in residents' room, TUMS, and etc. At 10:35 AM, LPA observed a resident occupying the designated staff room. At 10:36 AM, record review showed that all the residents' files were incomplete. At 10:55 AM, record review showed that the facility does not have documentation of emergency drills being conducted. At 12:08 PM, LPA observed R1, R2, and R4 with half bed rail with no doctor's order. At 12:10 PM, record review revealed that there are no doctor's order for residents' medications. The Facility was cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted with Administrator. Appeal Rights and a copy of this report provided.