Routine inspection·March 3, 2026

On 03/03/2026, Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA Lee met with Executive Director (ED) Loreen Hickman and explained the purpose of the visit. The current census is 34. LPA Lee inspected the physical plant including but not limited to the common areas, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room, facility storage, staff office, activity rooms and medication room to ensure compliance with Title 22 regulations. LPA Lee observed the facility to be free of odor, clean and in good repair. LPA Lee observed bedrooms to be properly furnished with appropriate bedding and lighting. LPA Lee inspected nine residents’ toilets and observed that all were in good repair and functioning properly. Hot water temperature was measured in two residents’ bathroom sink and was at 112.4 and 116.1 degrees Fahrenheit which is within the required regulation of 105 to 120 degrees Fahrenheit. The laundry room was also toured. LPA Lee observed residents’ clothing labeled with their initials. Resident bedding and sheets were observed folded and bagged, ready to be delivered to residents after washing and drying. The laundry area was organized, with a system in place for processing residents’ laundry. An area designated for residents’ lost items was also observed. LPA observed facility’s activity calendar posted and sufficient equipment and supplies to meet activity program needs of residents in care. LPA Lee also observed five residents participating in the activity for the day. LPA Lee toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. The facility’s exhaust hood was last serviced on 03/21/2025. The smoke and carbon monoxide detectors are in compliance with fire safety. CONTINUED LIC 809-C The fire extinguisher is located throughout the facility and was last serviced on 11/18/2025. The last fire drill was conducted on 12/03/2025. LPA Lee observed the facility has a has a public telephone in each resident’s room and in the medication room for residents use and the facility has the required posters posted. Facility thermostat was observed at 75 degrees Fahrenheit, which is within the required regulation of 68 to 85 degrees Fahrenheit. LPA Lee observed toxins and sharp knives kept locked and inaccessible to residents. LPA Lee checked medication storage and found medication to be locked away and inaccessible to residents. The first aid kit was checked and contained the required components. LPA Lee, along with the medication technician staff, reviewed five residents’ medications using the facility’s All Care Systems, which logs residents’ medications and documents when medications are administered. A review of the five residents’ medication records was conducted, and no discrepancies were observed. During this inspection, LPA conducted an audit of facility files, five resident files, and three staff files for regulatory compliance and they were complete. The following documents will be emailed to LPA Lee at pang.lee@dss.ca.gov by end of day 03/10/2026: (1) LIC 308 Designation of Administrative Responsibility (2) Copy of Administrator Certificate (4) LIC 610 Current Emergency Disaster Plan (5) Proof of Current Liability Insurance (6) LIC 500 Current Personnel Report As a result of this annual visit, the facility is in compliance with Title 22 Regulation. An exit interview was conducted with ED Hickman and a copy of the LIC 809 reports was provided to the facility.