Routine inspection·November 13, 2025

On 11/13/2025 at 1:20pm, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Rose Onyeagocha and explained the purpose of the visit. The facility’s fire clearance was approved for five (5) non-ambulatory and one (1) bedridden residents. LPA toured the facility with Caregiver including but not limited to bedrooms, bathrooms, kitchen, common area, garage and back yard. The facility consists of six (6) and three (3) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 71 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 109.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 10/22/2025. Emergency Disaster Plan was not posted. LPA reviewed two (2) staff files and were all complete. LPA reviewed all two (2) resident files and all were complete. Continued on LIC809C. CONTINUE FROM LIC80 LPA requested updated copies of the following documents from ADM to be submitted to LPA by 11/21/25: · LIC500- Personnel Report · LIC308- Designation of Facility Responsibility · LIC610E- Emergency/Disaster Plan Liability Insurance The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct these deficiencies and/or repeat deficiencies within a 12 month period may result in civil penalties. LPA observed the following deficiencies: No proof of staff CPR/FIRST-AID No proof of disaster drills conducted. Emergency/Disaster Plan not posted. Exit interview conducted, appeal rights and copy of this report provided to ADM.