Routine inspection·December 18, 2025

On this date, 12/18/2025, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced annual inspection, and met with Coelestis Chan, Administrator (ADM). Administrator application is for 6 (six) total capacity, 6 non-ambulatory (all). ADM hold a certificate number 6070156740 effective 5/6/24 to 9/4/2026. LPA toured the facility with the ADM. There is no body of water. Bedrooms were observed to be appropriately furnished with adequate lighting. Supplies of towels, bed sheets, linens were adequate. Equipment and supplies for residents' personal hygiene were available and on site. Food supplies were observed adequate for seven days of non-perishables. Facility is equipped with refrigerator, microwave, dishwasher, washer and dryer. Storage where knives and medications is centrally stored was observed. Fire extinguisher checked, observed fully charge with tag showed serviced 04/29/2025. First aid kit checked and observed complete with manual. Hot water temperature was tested in one of the common bathrooms and measured at 110 degrees Fahrenheit. Carbon monoxide and smoke detectors were tested and observed operational. Facility liability insurance effective from 5/1/25 to 5/12/26. LPA reviewed 4 residents files and 3 staff files. All staff are fingerprint cleared and associated with the facility. They have current first aid and CPR training. Deficiency observed: At around 1:25PM, LPA observed Lysol left on top of resident drawer, and chemicals are left unlock under sink. The following records need to be submitted to CCL by 12/31/2025: Lic 500, Roster of Resident, Disaster Plan, Infection Control Plan. The deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiency may result in civil penalties. An exit interview is conducted, and a copy of the appeal rights and report is provided.