Routine inspection·October 16, 2025

On 10/16/2027 at 1015 AM, Licensing Program Analyst (LPA) David Doidge and Licensing Program Manager (LPM) J. Fong arrived unannounced to conduct a 1-Year Annual Required Inspection. LPA met with Administrator Norma Tejero and explained the purpose of the visit. The LPA and LPM toured the facility inside and out with Licensee Joseph Taburaza. LPA and LPM inspected the kitchen, dining area, living room, bedrooms, bathrooms, front, side and back yards. LPA and LPM observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. Hallway temperature was maintained at 61 degrees Fahrenheit. The hot water temperature was measured in multiple bathrooms between 116 and 116.7, and degrees Fahrenheit. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medications are locked and inaccessible to residents in care. The facility is an RCFE, however, it does not provide dementia care. 5 resident files were reviewed and had no information to indicate that sharp or other hazardous items would be danger to them. Smoke detectors and carbon monoxide detectors were in operating condition. Fire extinguisher was last serviced on 07/18/2025. Emergency Disaster Plan was last posted on 10/18/2025. Emergency disaster and fire drills are conducted quarterly; last conducted on 05/07/2025. First aid kit was observed to be complete. Continued on LIC809-C Continued from LIC809 The following deficiency were observed: At 10:45 AM, LPA and LPM observed cold water faucet in bathroom by unoccupied room 20 does not run. At 11:30 AM, LPA and LPM observed hallway air temperature measured at 61 degrees Fahrenheit, which felt cold. Two resident also expressed feeling cold while walking around hallways. LPA and LPM also observed inadequate lighting in hallways. At 11:35 AM, LPA and LPM observed no window covering on window in room 35 allowing others to look in on the resident. At 12:00 PM, LPA and LPM observed that the facility does not have an operating signal system. LPA and LPM overserved a pull call in residents’ bedroom, however they were nonfunctioning. An immediate and repeat civil penalty of $250 is hereby assessed for inadequate lighting in hallways. This is the second time this regulation was cited in a 12 month period. 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. A copy of this report and appeal rights provided.