Routine inspection·December 2, 2025

On 12/2/2025 at 4:00pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced annual required inspection. LPA met with Brenda Solis, Caregiver. Licensee, Noupane Temple, Licensee, and explained the purpose of the visit. Administrator holds a certificate #7030056740 expires 1/22/2027. LPA spoke with Administrator, Rachael Laine, via telephone. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5) bedrooms and three (3) bathrooms. No bodies of water was observed. A comfortable temperature is maintained at 74 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 147.1 degrees Fahrenheit. Licensee had sign posted that hot water is very hot. Residents’ bathrooms are equipped with grab bars and non-slip mat. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 09/08/2025. First aid kit was observed to be complete. LPA reviewed four (4) staff records and six (6) resident records all were current and complete. Continued on LIC809. Continued from LIC809. The following forms to be updated and submitted to CCLD by 12/09/2025 : LIC610E Emergency disaster plan (all 9 pages) LIC500 (Personnel Record) LIC308 (Designation of facility Responsibility) Liability insurance LPA observed the following deficiencies: At 4:20pm, LPA observed during record review that facility is not conducting fire drill. At 6:05pm, LPA observed medicines were in unlocked kitchen cabinet. Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due dates, and any repeat violations within 12-month period may result in civil penalties. Exit interview conducted. A copy of appeal rights and this report provided.