Routine inspection·April 22, 2026

On this day, at around 10:30 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection and met with direct care staff Teresita Collong. Administrator Soledad Bacani, Certificate 7011133740 dated 12/21/25 to 12/20/2027, arrived later. During the visit, LPA inspected the facility inside and out, including, but not limited to, bedrooms, bathrooms, the dining area, kitchen, garage, and backyard. Hot water is measured at 120 degrees Fahrenheit. There was a sufficient supply of perishable and non-perishable foods. Supply of linen, warm blankets, and towels was observed. The first aid kit was observed to be complete. was observed to be complete. LPA observed a fire extinguisher charge with the receipt attached, dated 4/22/26. The last fire and earthquake drill was conducted on 4/2/26. Liability Policy: PCI33893478-02 effective 4/8/26 to 4/8/27. Smoke detectors and carbon monoxide were tested and observed to be functional. LPA reviewed 4 resident files and 3 staff files. Report continues on LIC 809c… The following deficiencies were observed: - Observed that the food transfer is not properly stored - Medication/cream/ ointment observed in shared bathroom, and in RM 2 and 3 (repeat dated 4/26/25) - Observed ants inside the shared bathroom - Observed resident 1 (R1) and R2 did not have TB - Files review R3 do not have a bedrail order - Observed shared bathroom drawer is broken. Observed objects such as an electric mattress, a Hoyer lift, multiple metal racks, and a broken drawer around the facility. *Civil penalty of $250 is being assessed on today's date by having a repeat of the citation within 12 months* Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by the plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy of the appeal rights, LIC421IM, and this report are provided to the Administrator.