Routine inspection·January 8, 2026

On 01/08/2026 at 3:30 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct Required 1 Year Annual inspection. LPA met with Administrator, Aurelia S. Muntean and explained the purpose of the visit. The facility’s fire clearance was approved for 6 Non-Ambulatory. LPA toured facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 110.3 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of 7 day supply of nonperishable and 2 day of perishable foods. Centrally stored medication and sharps were unlocked and accessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 9/22/2025. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 1/5/2026. Emergency Disaster plan last reviewed 1/7/2026 LPA reviewed 4 of 4 residents records. LPA reviewed 3 staff records and 3 of 3 have current first aid training and are associated to the facility. Report Continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT Upon arrival LPA observed an uncleared individual working alone with residents LPA observed Knives unlocked in kitchen drawer LPA observed medication cabinet unlocked and unsecured/ and medications unlocked in closet by resident living/sitting area LPA observed R1 and R2's file are incomplete ***Immediate Civil Penalty issued in the amount of $500*** Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 01/20/2026: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.