Routine inspection·November 12, 2025

On 11/12//2025 at 09:50 AM, Licensing Program Analyst (LPA) Carol Fowler, conducted an unannounced annual 1-year required inspection. LPA met with Angela Wei, Administrator. The facility’s fire clearance was approved for six (6) non-ambulatory. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, garage, and back yard. The facility consists of five (5) bedrooms and three (3) bathrooms. All indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hot water temperature in the shared clients’ bathroom was measured at 115.9 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. The supply of extra hygiene was available for residents. There is a minimum of 7-day non-perishables and 2-day perishables foods. Smoke detectors/carbon monoxide were in operating condition during visit. The emergency disaster plan was last updated 03/13/2025. Fire extinguisher was serviced on 08/11/2025. Fire drill last conducted 09/23/2025. First aid kit was observed to be complete. continue on LIC 809C CONTINUED FROM LIC809 LPA reviewed two (2) residents files which were all complete. LPA reviewed three (3) staff files which were all complete. LPA observed the following deficiencies: · At 10:30 AM, LPA observed Lysol and Clorox Wipes in R1's bedroom. LPAs requested the following documents to be submitted to CCLD by 11/21/2025 LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization Liability Insurance The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations. Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted and a copy of this report and appeal rights provided