Routine inspection·September 3, 2025

On 9/3/2025 at 2:00pm, Licensing Program Analyst (LPA) L. Hall conducted an unannounced annual required inspection. LPA met with Marie Etienne, Caregiver, and explained the purpose of the visit. LPA spoke with Administrator, Endurance Ediae via telephone and was given approval for Caregiver to sign documents. Administrator holds a certificate #6070924740 expires 12/19/2026. Licensee, Aurore Ediae, arrived at 4:55pm. The facility’s fire clearance was approved for six (6) ambulatory residents. Facility has submitted all documents and made changes for updated fire clearance. LPA toured the facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area, garage and backyard. The facility consists of five (5) bedrooms and two (2) bathrooms. One (1) bedroom occupied by staff. No bodies of water was 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 137.3. degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non skid mats. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 09/3/2024. Emergency Disaster Plan was last reviewed on 03/20/2025. Continued on LIC809. Continued from LIC809C. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 09/3/2024. Emergency Disaster Plan was last reviewed on 03/20/2025. LPA was not able to review staff files due to they were not at the facility. LPA reviewed both resident files and both were incomplete. LPA observed the following deficiencies: At 2:30pm, LPA observed during record review there were not any staff files to review. At 2:30pm, LPA observed during record review that both residents' files were incomplete. At 2:40pm, LPA observed during record review that the facility has not conducted a fire drill. At 2:50pm, LPA observed that medication was not in it's original containers. LPA requested the following documents to be submitted to CCLD by 9/10/2025. LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 610E Emergency Disaster Plan (Last page) Continued on LIC809C. Continued from LIC809C. Liability Insurance Deficiencies are cited from Title 22 California Code of Regulations (see 809D). Failure to submit proof of corrections by plan of correction due date, and any repeat violations within 12-month period may result in civil penalties. Exit interview conducted. A copy of appeal rights and this report provided.