Routine inspection·October 14, 2025

On 10/14/2025, Licensing Program Analysts (LPAs) M. Medina and L. Salazar conducted an unannounced Annual Required inspection. LPAs arrived and allowed entrance by Jessica Yglesias, Administrative Assistant to conduct visit. Administrator, Elsa Nguyen was not available to conduct today's inspection. The facility has 7 separate housing units on site that serve individuals as follows: Building 1 address 877 S Willow, 3 bedroom, 6 non-ambulatory Building 2 address 853 S Willow, 2 bedroom, 4 ambulatory Building 3 address 825 S Willow, 2 bedroom, 4 ambulatory Building 4 address 865 S Willow, 2 bedroom, 4 ambulatory Building 5 address 841 S Willow, 3 bedroom, 6 non-ambulatory Building 6 address 835 S Willow, 3 bedroom, 6 non-ambulatory Building 7 address 881 S Willow, staff office LPA's conducted facility tour of all buildings except building 3, which was locked and inaccessible. All buildings (homes) observed to be clean, odor free, and a comfortable temperature. Individual bedrooms are have required furnishings, additional linens are available in each hallway closet area. Each individual home has a washer/dryer available. Each home has a fully furnished living room and dining room that has adequate seating available for residents in each home. Each home also has a full kitchen with pots, pans, cups, plates, utensils. LPAs observed a 2-day supply of perishable foods and a 7-day supply of non-perishable food stored in the office. Each home has a refrigerator that contains small snacks, and drinks available. Meals are prepared in one kitchen and provided to individual homes. Resident bathrooms toured, fixtures observed to be operational. Bathrooms observed to have grab bars in the shower/tub areas with skid resistant applications. Water temperature ranged from 110 degrees F - 115 degrees F. (Continued from 809) During facility tour it was observed that R1 is bedridden and facility does not have bedridden clearance. First aid kit contains all the required items. A fire extinguisher is mounted on the wall of each home with a service date of 3/27/2025. All homes have smoke detectors, carbon monoxide and sprinkler systems. Medications observed to be locked and secured in a medication cart that is stored in building 4. Medications reviewed. Staff files reviewed, LPAs observed S1 is not fingerprinted and cleared and S2 has a exemption that has not been transferred to facility. Both S1 and S2 have worked 5 days or more between 9/29/2025 and 10/12/2025. Perimeter of the grounds is surrounded by a gate which is locked from the exterior. Exit gates observed to be self latching upon exit. There are benches around the property under covered patios for resident seating. Due to time constraint, resident and staff files will be reviewed at a later date. Based on today's visit, and per CCR Title 22, deficiencies are being cited on the attached 809-D. Immediate civil penalties are being assessed in the amount of $500 for Caregiver Background clearance, $500 for Caregiver exemption transfer request, and $500 for Bedridden fire clearance totalling $1500. If not corrected, the violations will have a direct and immediate risk to the health, safety, or personal rights of clients in care. An exit interview was conducted with Administrative Assistant. A copy of this report and appeals rights were discussed and provided at the time of visit. A plan of correction was developed by Administrator Assistant and reviewed with LPAs.