Routine inspection·July 17, 2025

On 7/17/2025 Licensing Program Analyst (LPA) M. Garza arrived at the facility to complete an unannounced annual visit. LPA met with Care Giver, Fabian Luna, explained reason for visit and was permitted entry into the facility. Administrator, Phoeun Marez was contacted and arrived some time later. LPA completed a tour of the facility inside and out. Residents observed in common areas and in rooms. 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 present and fully charged (receipt with purchase date not present). Resident rooms observed to have the required furnishings and with adequate lighting. Sharps and chemical were located in locked cabinets/closets and cupboards. LPA observed sufficient seating under covered patio area. The following issues were observed during today’s visit: Bedroom 1 observed with bed rails on 1 of 2 beds without a physicians orders. Bathroom #1 in hallway observed with molded mat in shower and dirty shower chair in need of cleaning/replacement. Fire doors (2) in hallway observed propped open. Bathroom #2 observed with medication unlocked and accessible to residents in care in bathroom drawer. Sliding lock observed on back patio door and garage door preventing residents from opening. Deficiencies cited per title 22. If not corrected, deficiencies pose a directed and potential impact to residents in care. LPA requested the following documents to be submitted to CCL by 8/01/25: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file. Exit interview was conducted with Administrator, Phoeun. A plan of correction was developed by Administrator and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided.