Routine inspection·March 7, 2026

On March 7, 2026 Licensing Program Analysts (LPA) B. Miranda conducted an unannounced visit today for the facility’s annual inspection. LPA introduced themselves and was allowed entrance into the facility. LPA met with Administrator Nelia Barcelona. Facility is licensed for 6 residents and has a current census of 4. There is 1 resident on hospice and 2 with a health care plans. Water temperature was checked in the kitchen which read at 135.1 degrees Fahrenheit and the common bathroom which read at 131.9 degrees Fahrenheit. Fire Extinguisher was serviced September 3, 2025 and is within the safety regulation period. Smoke and carbon monoxide detectors were tested. Carbon monoxide detector is in working ordered. One out of four of the smoke detectors are working properly. Emergency exits are clear and free from obstruction. In the garage LPA observed laundry detergent, cans of paint, drill, and box cutter to be accessible to the residents. LPA observed medication in cabinets which were not locked and accessible to resident in care. Medication refills were observed on a shelf to the left of the refrigerator, which were not locked and accessible to residents in care. LPA observed knives and sharps to be under the kitchen sink with key left in the lock which makes the knives accessible to residents in care. While touring the facility staff locked the cabinet under the sink, but left the key in the lock. LPA observed the sink having debris and cleaning sponge. Nelia’s Administrator's Certification expires January 24, 2027. Staff files were reviewed, are complete, and current. Resident files were reviewed, complete, and current. Facility provided a log for disaster drills that are conducted quarterly. First aid kit on site. LPA observed some toxins and cleaning supplies to be in an unlocked cabinet in the laundry room. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms, bathrooms, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean, properly furnished, with adequate lighting, and in good repair. Food supply is adequate for 2-day perishable and 7-day nonperishable. The following deficiencies were cited: Water temperature in kitchen 135.1 degrees Fahrenheit & common bathroom 131.9 degrees Fahrenheit Cabinet under the sink was unlocked with key left in lock, scissor in unlocked kitchen drawer. Cleaning solutions & disinfectants were left in unlocked cabinet. These items were accessible to residents. R1, & R3 are at risk for personal hygiene items being accessible. LPA observed hygiene products accessible in R1 & R3's bedrooms, in common and bathroom. R1 MAR shows PM medication Trazadone 50 mg was given, when it is supposed to be given at bed time. R1’s medication Quetiapine Fumarate 25 MG was not logged on the Centrally Stored Medication Log. Medication cabinets were not locked and key was left in lock of the cabinet. Medication refills were left on a shelf left of the refrigerator. R3’s hospice care plan did not indicate full bed rails were to be used. 3 of the 4 smoke detectors tested not fully functioning. Additional blankets for the facility are being stored in R2's master bedroom closet. Debris and cleaning sponges were found under the kitchen sink where the kitchen knives are stored. R3 did not have a current hospice care plan on file (December 25, 2025- February 22, 2026). Deficiencies observed were cited during today's inspection per California Code of Regulations, Title 22. LPA's requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing. Exit interview conducted and a copy of this report LIC809, LIC809D, and appeal rights will be provided via email on March 7, 2026 to Administrator Nelia Barcelona.