Routine inspection·February 4, 2026

On 2/4/2026 at 8:30 AM, Licensing Program Analysts (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Meeran Saxena 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 facility with staff including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 6 bedrooms are occupied by the residents and 2 bedrooms are occupied by staff. All outdoor and indoor passageways are not kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars. There is a minimum of 2-day supply of perishable foods. Centrally stored medication and sharps were not locked and inaccessible to residents. Hot water temperature measured at 121.0 and 119.9 Degrees Fahrenheit. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was last purchased on December 2025. Emergency Disaster Plan was last posted on 11/24/2024 (TV issued). First aid kit was observed to be complete. Emergency disaster drill was last conducted on 12/16/2025. At 10:00am, LPA reviewed 6 residents records. At 10:30 am, LPA reviewed 3 staff records and 3 of 3 have current first aid training and associated to the facility. Report continues on LIC809-C THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 9:14am LPA observed under kitchen sink cabinet unlocked with cleaning solutions/poisons, also observed on kitchen counter unsecured blue/cheeta print scissors/ yellow lighter and pink scissors in shared bathroom At 9:15am LPA observed unsecured prescription and PRN medications in kitchen cabinets (Aleve, Amlodipine), also unsecured medication in refrigerator on door (stomach relief, Lactulose, and NyQuil) At 9:20am LPA observed that the facility does not have enough food and of variety to meet the nutritional needs of residents At 9:21am LPA observed an unsupervised burning candle in room 2 At 9:21am LPA observed full bed rails on R6's bed without the required documentation/exception At 9:27am LPA observed that both bathrooms do not have non-skid mats At 9:30am LPA observed that hot water measured at 121 degrees Fahrenheit in 1 of 2 bathrooms At 9:36am LPA observed that extra supplies/PPE are being stored in a shed in the backyard and observed rat droppings throughout At 9:37am LPA observed fire exit from living room slider blocked with a stick placed to prevent the door from being opened inside At 10:15am during file review LPA observed R1, and R3 do not have up to date physicians reports or appraisals At 10:30am during file review LPA observed S2 and S3 do not have their required yearly training's up to date. At 12:10pm LPA observed the facility is not serving balanced meals and had to advise them during lunch (served boiled carrots, meatballs, cake, water) LPA observed throughout visit that facility does not have planned activities and also no activity calendar ***An immediate civil penalty for $500 is being assessed on todays date*** ***A civil penalty in the amount of $250 is being assessed for repeat violation on todays date*** Administrator Had to leave for an appointment and approved Caregiver, Steven Bagunas to sign off on report(s). Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 3/1/2026: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance