Routine inspection·March 24, 2026

On 3/24/2026 at 1:40PM, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced 1-Year Required inspection. LPA met with Shengxi Liu, and explained the purpose of the visit. The Co-Administrator certificate 7013388740 expires on 4/27/2027. The facility’s fire clearance was approved for five (5) non-ambulatory and three (3) bedridden residents. LPA toured the facility with Co-Administrators including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of six (6) total bedrooms, and two (2) bathrooms. No bodies of water observed. A comfortable temperature is maintained at 72 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 111.0 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher is not tagged. Emergency Disaster Plan was last posted on 03/24/2026. First aid kit was observed to be incomplete. Facility did not have both Co-Administrator and one (1) staff files complete including CPR/First Aid Certificates available. Three (3) residents files were reviewed were complete. CONTINUE ON LIC809C continue from LIC 809C The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, 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 this report and appeal rights provided Continued from LIC809. LPA requested the following documents to be submitted to CCLD by 4/1/2026. · Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance LPA observed the following deficiencies: At 1:50pm, LPA observed the fire extinguisher has no tag or purchase receipt. At 1:55pm, LPA observed unlocked sharps drawer. At 2:00pm, LPA observed a building with two (2) rooms in the process of being build in the backyard with a permit or contacting CCLD before starting project. At 2:10pm, LPA observed a generator, wood planks, large can of food, debris, cement, toilet, pipes, paint, rake, Lysol and a shovel, ladder. At 2:20pm, LPA observed unlocked medications located in the kitchen. At 2:25pm, LPA observed pre-poured medications located in a locked cabinet in the kitchen. At 3:00pm, LPA observed staff files incomplete. continue on LIC 809C