Routine inspection·May 15, 2025

On 05/15/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA arrived, introduce self, and stated the purpose of the visit. LPA met with staff Jose Ducusin. Licensee(L1) Amalia Necer was called. L1 and Staff Alwyn Navor arrived shortly. LPA conducted tour with L1. L1 left later during tour and authorized staff to sign report. Upon arrival alcohol spray bottle was observed on kitchen counter unlock. One resident was observed sitting in dining area and residents observed in bedrooms. All five residents were present during inspection. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. All residents’ and all staff files were reviewed to have all the required documents. Cleaning chemical was observed stored under kitchen sink, bathroom sink, and garage cabinet. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature maintained at 37 degrees F and freezer temperature at -1 degree F. Expired perishable and nonperishable food observed . Fire extinguisher was observed with a service date of: 05/22/24. Medications were checked and observed kept locked in kitchen shelf, cabinet and drawer. Residents’ MARS was reviewed. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. Bathrooms were properly equipped, and the hot water temperature was tested 109.9 in hall bathroom and at 110.8 and 111.1 degrees F in shared bedroom. Smoke detectors were tested and observed to be operational. Outside of facility toured. Adequate outdoor seatings observed available for residents. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. The following documents are requested to be submitted to the department by 05/21/25: Lic 308, Lic 309, Lic 500, Lic 610E, current liability insurance, and current Administrator Certificate. A copy of this report and appeal rights was emailed to Licensee.