Routine inspection·April 28, 2026

On 04/28/2026 at 2:35pm, Licensing Program Analyst LPA L. Hall conducted an unannounced annual required inspection. LPA met with Caregiver, Jenna Asuncion. Administrator, Maria Matel, arrived at 3:20pm, and explained the reason for the visit. The administrator currently holds a certificate (#7033531740) that expires on 01/29/2027. The facility’s fire clearance was approved for six (6) Non-ambulatory and one hospice waiver for three (3). LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of six (6) bedrooms and two (2) bathroom. Two (2) bedrooms are occupied by staff. No bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 74 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. Night lights are maintained in hallways and passages. Residents’ bathrooms are equipped with grab bars no and non slip mats Continued on LIC809C. Continued from LIC809C. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 03/25/2026. Emergency Disaster Plan was last reviewed 03/08/2026. First aid kit was observed to be complete. Fire drill was last conducted on 12/12/2025. The following forms to be updated and submitted to CCLD by 05/05/2026: LIC610E Emergency Disaster Plan (last page) Liability Insurance LIC308 Designation of facility responsibility LIC500 Personnel report A copy of the Administrator certificate. LPA observed the following deficiencies: At 3:00pm, LPA observed facility had a lot of canned goods, but did not have a minimum of one week non-perishables (meat, juice, milk, snacks) and perishable foods for a minimum of two days. At 3:18pm, LPA observed facility did not have a quantity of towels and sheets to permit changing at least once per week or more often. Continued on LIC809C. Continued from LIC809C. At 3:40pm, LPA observed during record review none of the residents have an appraisal needs and services plan, At 4:28pm, LPA observed during record review facility did not have accurate records of cash resources At 5:03p, LPA observed during record review S1 file was incomplete. At 5:30pm, LPA observed during record review S4 have not completed a health screening and TB test. 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. Appeal rights and this report provided.