Routine inspection·December 13, 2025

On this day, December 13, 2023, at 10:45 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA was granted Geca Bronken, staff. LPA called and spoke over the phone with 'Marla' Rocero, administrator (ADM), and informed the reason for visit. LPA also met with other staff, Rebecca Go. ADM arrived at 11:42 am with other staff, Noel Rocero.. LPA started the inspection with Rebecca Go ad Geca Bronken and continued with ADM. LPA toured the facility inside out. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Central storage for medications was observed locked. Facility has smoke and carbon monoxide detectors that were tested, and observed in operating condition. Hot water temperature in the common bathroom was tested, and measured at 111.7 degrees Fahrenheit. Facility conducts disaster drills quarterly, and records showed last conducted December 5, 2025. Fire extinguisher checked, and tag showed serviced December 2, 2025. LPA reviewed 4 staff and 5 residents files, and interviewed 3 residents. Medications checked and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Facility does not handle residents' cash resources. .....continued on 809C LPA observed the following: -at 10:58 am, moldy grapes, expired yogurt and sour cream, rotten cabbage and eggplant, tortilla not properly stored (plastic package open), and unlocked medications in the refrigerator. -at 11:00 am, soiled kitchen rug and dirty kitchen floor. -at 11:07 am, unlocked cabinet under the sink where Comet and WD-40 were kept with casseroles and cutting board. -at 11:10 am, very dirty and rusty oven toaster, bread toaster and rice cooker. -at 11:11 am, dirty and moldy dish drainer, greasy cooking range and range hood. -at 11:12 am, medications in the dining area. -at 11:14 am to 11:30 am, cobwebs and spiders all through out the facility. -at 11:22 am, medication in one of the resident's rooms. -at 11:24 am, perineal cleanser, scissors, Calmoseptine ointment in unlocked bathroom cabinet -at 11:31 am, hole on the wall, dusty lights and air vents, moldy shower area/floors in 2 bathrooms, rusted shower curtain bars in the common bathrooms. -at 11:39 am, broken and dirty closet door in another residents' room. Moldy ceiling, spider and cobwebs in this residents' room and bathroom. -cameras that capture audio in all residents' rooms. -at 11:49 am, medications in the refrigerator in the backyard porch. -at 11:50 am, hammer, Miracle gro fertilizer and moldy chairs in the backyard. -at 11:51 am, overgrown weeds about 2 ft tall, rusted metal shelf, crates, piece of metal in the side yard. -at 2:15 pm, staff (S2) only completed 26 hours of the 40 hours required training. -residents' (R2, R3 and R4) half bed rails do not have doctor's orders on file. -resident (R3) has Senna medication but no doctor's order on file. Facility has prescriptions for other 4 (ointments, Glycol, patch) but facility does not have them. Administrator to submit updated/current copies of the following documents by December 27, 2025: 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M Liability Insurance certificate Deficiencies are cited from Title 22 California Code of Regulations and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates and any repeat violation within 12 month period may result in civil penalty. Deficiencies and plan and proof of corrections were discussed with ADM. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided.