Routine inspection·March 24, 2026

On this day, March 24, 2026, at 11:20 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with staff, Jonalyn Legarto, and informed the reason for visit. LPA called and left message on Mirriam Paras', administrator (ADM), voicemail. ADM arrived at around 12:06 pm. LPA also met with other staff, Charlaine Rose De Leon and Melody Tria. LPA started the inspection with Jonalyn Legarto and continued with ADM. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and backyards. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was locked. Hot water temperature in one of common bathrooms was tested and measured at 117.8 degrees Fahrenheit. Fire extinguishers were observed fully charge with tags showed serviced September 24, 2025. Carbon monoxide and smoke detectors were tested and observed in operating condition during today's visit. Facility only conduct fire drills and records showed conducted January 16, 2025 and February 8, 2026. LPA reviewed 5 residents and 5 staff files and interviewed 1 resident. Residents medications were checked. Facility does not handle residents' cash resources and/or P&I. .....continued on 809C LPA learned that one of the residents (R6) was sent out to the hospital on March 3, 2026 but the facility did not submit incident report. LPA observed the following: -at 11:37 am, unlocked cabinet where peritoneal cleanser are kept. -at 11:40 am, half bed rails of 2 residents have no doctor's order on file. -at 11:45 am, broken drawer knob in residents' room. -at 11:58 am, broken glass window in resident's room; cat's feces, rusted paint pan, paint roller, piece of wood and metal in top stairs leading to the backyard. -at 12:04 pm, Neosporin and muscle rub in resident's room. -at 12:09 pm, unlocked gate leading to storage where cleaning supplies are kept and Clorox bleach in the backyard. -at 12:15 pm, pieces of wood, rusted grills, soiled placemat, empty milk container on the backyard ground. -at 12:17 pm, rubbing alcohol, rust remover and hammer in unlocked basement room. -at 12:30 pm, rusted sink and medications in unlocked refrigerator in area adjacent to the kitchen -at 1:00 pm, two residents' beds with half bed rails but no doctor's order on file. -at 3:00 pm, staff (S2) has no LIC501 Personnel Record on file. -at 3:15 pm, staff (S3), a cook, does not have food preparation training on file -at 3:30 pm, records showed facility does not conduct disaster drills every quarter and only conducted fire drills. -at 4:15 pm, residents' (R1 and R2) LIC602A Physician's Report/medical assessments on file are over a year old. -all 5 residents have no doctor's orders for current medications. .......continued on 809C Administrator to submit updated/current copies of the following by April 7, 2026: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610D Emergency Disaster Plan (9 pages) 4. Proof of $3M Liability Insurance coverage Deficiencies are cited from Title 22 California Code of Regulation, and listed on 809Ds. A $250.00 civil penalties for each of section # 87303(a), 87463(h) for repeat violations within 12 month period and will continue for $100.00/day until corrected. Failure to submit proof of corrections for other deficiencies may also result in civil penalties. Deficiencies and plan and proof of corrections were discussed with the ADM. Exit interview conducted. Appeal Rights, LIC421FCs Civil Penalty Assessments, LIC9098 Proof of Correction form and copy of this report provided.