Routine inspection·March 26, 2026

Licensing Program Analyst (LPA) David Roman conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with House Manager, Beatriz Rivas. According to the facility’s license, the facility has a maximum capacity of eight clients, of whom all may be non-ambulatory and three of which may be bedridden. A hospice waiver has been approved for one resident. At a later time, House Manager contacted the Administrator, Irma Pineda via video chat. LPA D. Roman introduced himself to the Administrator and informed them of the purpose for today's visit. LPA along with facility staff, toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas. Water temperature was measured at 105 degrees F. No pools or bodies of water on the premises. Per House Manager, Beatriz Rivas, no firearms or ammunition are kept at the facility. Smoke/carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers were present. First aid kits were complete and readily accessible. Resident records reviewed needed required documentation. Staff records reviewed also needed required documentation. (Cont. on LIC809-C) LPA D. Roman informed House Manager, Beatriz Rivas of the information needed in the employee binders (First Aid Certificates, SOC341A forms, trainings etc.) as well as some information needed in the resident binders (admission agreements, identification & emergency contact info, etc). During today's visit it was observed that one resident's bed was in the common area. Administrator reported that the resident's bed is in the common area due to the severity of their health issues as staff are more accessible to their needs. LPA educated the Administrator on Title 22 regulations, specifically pertinent to personal rights, as well as fire clearance and facility sketch layouts. Administrator agreed to have the resident moved to a room ASAP. One deficiency was cited today for R1 bed in a common area, and technical violations were issued for plant and operations. An exit interview was conducted with House Manager, Beatriz Rivas, to whom a copy of this report the Licensee/Appeal Rights, and LIC 809-D were provided during the visit. LPA also contcated the Administrator, Irma Pineda via phone for the exit interview.