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Inspection visit

Routine inspection

WAGAYA ASSISTED LIVINGLicense 0756015415 citations on this visit
5 citations recorded

Inspector’s narrative

What the inspector wrote

On 4/8/2026 at 11:00 AM, Licensing Program Analyst (LPA) Y. Brown conducted an unannounced annual 1-year required inspection. LPA met with Administrator Minoru Katsumoto and explained the purpose of the visit. The administrator currently holds a certificate (#7005712740) that expires on 8/9/2026. The facility’s fire clearance was approved for six (6) residents, six (6) may be non-ambulatory. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and back yard. The facility consists of five (5) bedrooms and two (2) bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature for clients is maintained at 73 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hot water temperature in the shared resident restroom was measured at 106.1 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for residents. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 4/8/2026. First aid kit was observed to be complete. LPA reviewed five (5) staff and five (5) resident records. LPA reviewed a sample of medication. Continued on LIC809C. Continued from LIC809. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 04/15/2026: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610D Emergency Disaster Plan Liability Insurance THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 11:30 am, LPA observed unlocked medication in the common area. At 12:15 pm, LPA observed missing CPR training from 0/5 staff members. At 12:20 pm, LPA observed missing first aid training from 0/5 staff members. At 12:30 pm, LPA observed all five (5) residents had missing Appraisal needs and services plans. At 12:45 pm, LPA observed that there wasn't an updated quarterly fire drill conducted. 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 with Minoru. A copy of the appeal rights and this report provided.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.618(c)(3)Type B

    Based on record review, the licensee did not comply with the section cited above in that out of the 5 staff members, none of the staff members on duty had proof of CPR training in which poses a potential health and safety risk to persons in care.

  • 87411(c)(1)Type B

    Based on record review, the licensee did not comply with the section cited above in that 0 out of 5 staff members did not have first aid certification on file which poses a potential health and safety risk to persons in care.

  • 87463(b)Type B

    Based on records review, the licensee did not comply with section above in that all six (6) residents did not have updated Appraisal Needs and Services Plans which poses a potential health and safety risks to persons in care.

  • 87465(h)(2)Type A

    Based on observation the licensee did not comply with the section cited above by having unlocked medication such as Omega-3, D3, Ibuprofen, laxative, Potassium, and Tussin DM cough and chest congestion in the residents common area, which poses an immediate health and safety risk to persons in care.

  • 1569.695(c)Type B

    Based on file review, the licensee did not comply with the section cited above not having any fire drills conducted quarterly which poses a potential health and safety risk to the persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the April 8, 2026 inspection of WAGAYA ASSISTED LIVING?

This was a inspection inspection of WAGAYA ASSISTED LIVING on April 8, 2026. 5 citations were issued: 1 Type A (serious) and 4 Type B.

Were any citations issued to WAGAYA ASSISTED LIVING on April 8, 2026?

Yes, 5 citations were issued (1 Type A, 4 Type B). The first citation was for: "Based on record review, the licensee did not comply with the section cited above in that out of the 5 staff members, non..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.