Routine inspection·January 26, 2026

On 1/26/2026 at 9:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director (ED), Lola Bullock and explained the purpose of the visit. The facility’s fire clearance was approved for 82 non-ambulatory and 28 ambulatory on the third floor. LPA toured the facility with ED including but not limited to 7 residents apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 68 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 104.8, 107.6, and 108 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. Refrigerator temperature: 39 Freezer temperature:0 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. Emergency disaster plan last reviewed 3/10/2025. Emergency disaster drill conducted 1/16/2026 .First aid kit observed to be complete. Fire Extinguishers last serviced 3/6/2025. At 12:40pm, LPA reviewed 5 residents records. At 1:00pm, LPA reviewed 5 staff records and 1 of 5 have current first aid training and 5 of 5 are associated to the facility. LPA reviewed a sample of resident’s medications . Report Continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: LPA observed unlocked scissors in activity space unattended and unlocked stainless steel cleaner in resident laundry rooms LPA observed food being improperly stored in kitchen LPA observed that 4/5 staff records reviewed did not have the required first aid training. ***Civil Penalty assessed $250 for repeat violation in 12 month period*** Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 2/10/2026: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Updated Facility sketch 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.