Routine inspection·December 23, 2025

On 12/23/2025 at 9:05 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Gaffar Syed, and explained the purpose of the visit. LPA toured the facility inside and out including but not limited to residents' rooms, bathrooms, activity room, kitchen, and courtyard. There are no bodies of water observed. LPA observed lighting in all rooms is adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents shared bathroom were measured at 108.3 and 107.8 degrees Fahrenheit. Residents’ shower bathroom are equipped with grab bars and non-skid shower pans. Carbon monoxide detectors were in operating condition during visit. Fire alarm was last inspected on 10/24/2025. Hallway fire extinguisher and kitchen fire extinguisher were last serviced on 10/22/2025. Emergency Disaster Plan was last posted on 11/25/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 09/28/2025. At 10:00 AM, LPA reviewed 5 residents records. At 11:16 AM, LPA reviewed 5 staff records and 3 of 5 have current first aid training and 4 of 5 are associated with the facility. LPA reviewed a sample of resident’s medications. Continue to LIC809-C... Continue from LIC809... Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 12/30/2025: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report Infection Control Plan THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 11:53 AM, record review revealed that the liability insurance does not cover enough per occurrence and total annual aggregate. At 12:05 PM, LPA observed the S2 is not associated with the facility. At 12:23 PM, LPA observed that the Administrator was unable to provide staff training conducted in 2025. At 12:34 PM, LPA observed the shower room for the residents’ used as a storage room filled with debris. At 12:45 PM, record review and interview with S2 revealed that R2 and R5 do not have an updated appraisal needs and services plan. 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.