Routine inspection·September 10, 2025

On 09/10/2025 at 8:15AM, Licensing Program Analysts (LPAs) Andrew Christy and James Sampair arrived unannounced to conduct the Required Annual Inspection. Upon entry, LPAs stated the purpose of the visit to Administrator Julieta Basbas. The facility currently houses five (5) residents. The LPAs inspected the interior and exterior of the facility. The inspection of the physical plant included the kitchen, dining area, restrooms, community living spaces, resident rooms, storage areas, and the grounds of the facility. More than the required minimum of 7 days of nonperishable and 2 days of perishable foods were appropriately stored. Temperature in the living room was measured at 71.6 degrees Fahrenheit. The fire extinguisher was replaced 04/23/2025. The carbon monoxide and smoke detectors were fully operational. The LPAs observed required postings in the facility, including the Residential Care Facility for the Elderly Complaint Poster, Ombudsman and Personal Rights posters, and the Theft and Loss Policy. An administrator is on site more than the minimum of 20 hours a week to oversee the proper business operations. The LPAs reviewed facility records, records of 5 residents, and records of 5 staff members. All were found to be complete. The emergency disaster plan was last reviewed 08/02/2025. The last emergency drills were conducted on 09/01/2025. Continued on LIC809C..... The following Type B Deficiency was cited during the inspection: At 10:25AM, LPA Andrew Christy noticed inconsistencies in the Medication Administration Record (MAR) for multiple residents, including a medication not being listed and multiple months being included on the same page of the MAR For further information on this deficiency, please refer to LIC809D. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted and a copy of this report was provided to the administrator. Administrator was also given a copy of their appeal rights.