Routine inspection·July 25, 2025

On 7/25/2025 at 10:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Luisa Tecson and explained the purpose of the visit. Administrator was unable to be at the facility during inspection. LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 3/6/2025. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105.9 degrees F in the hallway bathroom sink. LPA observed grab bars and non-skid mat in the resident's bathroom. First Aid kit is complete. LPA reviewed 4 residents and 2 staff files starting at 10:51AM. All staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection. At 12:38PM, LPA observed unlocked medications in the refrigerator. Staff locked up the medications during inspection. At 12:52PM, LPA observed unlocked gardening shears in the backyard. Staff locked up the gardening shears during inspection. At 12:56PM, LPA observed the fence near the side gate is leaning towards the neighbor's side and side gate latch is unable to close. (Continue on LIC809C...) At 2:41PM, LPA observed doctor's order dated 6/1/2025 states R2's ferrous sulfate should be taken every other day. However, R2's MAR stated ferrous sulfate was given daily for part of July 2025. R2 has a doctor's order for Calcium 315mg. However, R2's MAR shows that R2 has been given Calcium 500mg. LPA observed R2 did not have doctor's orders for Probiotic Gummies and Magnesium Oxide. However, R2's MAR indicates that the two supplements were given daily. Civil penalty of $250 is being assessed for repeat violation. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of this report, civil penalty, and appeal rights were provided.