Routine inspection·August 27, 2025

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Martha Zapata and Licensee, Ron Sandone During this visit, LPA toured the facility inside & out. Resident rooms and common areas were clean, in good repair and contained required equipment, furnishings and lighting. LPA observed required items in bathrooms with faucets delivering hot water as required. LPA observed hygiene items, paper products, towels, extra bedding, and linens which were stored and available for use. The kitchen was clean, with necessary items and appliances. LPA observed required food supply. Medications are centrally stored in a kitchen cabinet. Cleaning/disinfecting supplies and chemicals are locked and stored separately from food. Doors and passageways are unobstructed throughout the facility including outdoors. LPA walked outdoors to find the grounds well-kept with clear walkways. Fire extinguishers were purchased 7/19/25. Fire and Emergency Drills are in compliance. LPA conducted resident and staff file reviews and a medication audit. Infection Control and Emergency/Disaster plans were reviewed. Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 809-D. An exit interview was conducted and Plan of Correction (POC) developed. A signed copy of this report and Appeal Rights were provided. LPA requested the following updated forms faxed to CCLD by 9/3/25 - Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Personnel Report (LIC 500), Client Roster (LIC 9020) and Proof of current Liability Coverage