Routine inspection·December 23, 2025

On 12/23/25 Licensing Program Analyst (LPA) , M Garza arrived at the facility to complete an unannounced annual visit. LPA met with Direct Support Professional, Mirna Montoya, explained reason for visit and was permitted entry into the facility. Administrator, Itaska Mask was contacted. Administrator stated they were unavailable to come to the facility but gave permission for LPA to complete visit with DSP, Mirna. LPA completed a tour of the facility inside and out. Resident were not present during todays visit. Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 02/25/2025. Last fire drill conducted on 12/19/2025. Resident rooms observed to have the required furnishings and with adequate lighting. Sharps and medications located in locked cabinets. LPA observed sufficient seating under covered patio areas. The following issues were observed during today’s visit: S1 working at facility was not associated to the facility. Personal hygiene items/items posing a danger unlocked and accessible to residents in care. Deficiencies cited per California Code of Regulations, Title 22. Deficiencies cited on attached 809D. If not corrected, the violation with have a direct risk to the health, safety and/or personal rights of residents in care. LPA requested the following documents to be submitted to CCL by 01/02/2025: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Affidavit regarding Resident Cash Resources (LIC 400), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020), a copy of liability/surety in order to update the facility file. Exit interview was conducted with Administrator, Itaska and Lead DSP, Michelle Walsh. A plan of correction was developed by Administrator and reviewed by LPA. A copy of this report, deficiencies, civil penalties and appeal rights discussed and provided.