Routine inspection·April 7, 2026

On 04/7/2026 at 9:00 AM, Licensing Program Analysts (LPAs) K. Nguyen and A. Christy arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Licensee/Administrator (ADM), Restituto Sabadera and explained the purpose of the visit. The facility’s fire clearance was approved for capacity six (6) residents in which five (5) may be non-ambulatory and one (1) may be bedridden in bedroom #1. Hospice waiver approved for four (4) residents. ADM hold a current ADM certificate #7000859740 effective 10/12/2025 to 10/11/2027. LPAs toured facility with Restituto including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 5 total bedrooms which 3 bedrooms are occupied by the residents and 2 bedrooms 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 71 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 117.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Report Continues on LIC 809c… Smoke and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 09/10/2025. Emergency Disaster Plan was last posted on 04/07/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 3/21/2026. Facility certification of Liability Insurance policy number ALF103069-05 effective 10/04/25 to 10/04/26. LPAs reviewed 3 resident's records. LPA reviewed 2 staff records and 2 of 2 have current first aid training and associated to the facility. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 9:15AM The second gate is in disrepair. At 9:30AM, it was found there was a significant amount of junk and debris in the backyard. At 10:00AM, one of the sinks in a private resident’s bathroom was clogged and slow moving. Deficiencies are cited per Title 22 Code of California Regulations. Failure to submit proof of corrections, or any repeat violations within a 12 month period, will result in civil penalties. Exit interview conducted. A copy of this report, along with appeal rights, was made available to the administrator.