Routine inspection·July 25, 2025

On 7/25/2025 at 12:00 pm, Licensing Program Analyst (LPA) Y. Brown arrived unannounced to conduct the Annual Required inspection. LPA met with Caregiver, Marilin Alegria. Marlin informed Administrator (AD) Ogedi Okeigwe via telephone and LPA explained the purpose of the visit. AD arrived to the facility at around 12:40 pm. The facility’s fire clearance was approved for capacity of six (6) residents, in which one (1) may be bedridden and hospice waiver approved for two (2) residents. LPA toured facility with Marilin including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) total bedrooms which six (6) bedrooms are occupied by the residents and one (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 75 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 106.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors were in operating condition during visit. Fire extinguisher was last serviced on 1/9/2025. Emergency Disaster Plan was observed to be last updated on 8/28/2024. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 7/10/2025. LIC809-C Continued... Continued from LIC809. LPA reviewed six (6) resident files and six (6) staff files. LPA reviewed a sample of medication. Administrator Ogedi left the facility around 3:00pm and informed LPA that caregiver Marlin Alegria is authorized to sign all of the documents presented by the LPA. The following forms will be updated and submitted to CCLD by 8/1/2025: LIC610D: Emergency disaster plan (last page) LIC500: (Personnel Record) The following deficiencies were observed: At 12:43 pm, LPA observed night shift staff resting in the backyard cottage/shed space with their personal belongings. At 1:15 pm, LPA observed that th e facility did not send any notification of hospice services initiated for R1. A technical violation was issued during the visit. 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 the appeal rights and this report provided.