Routine inspection·March 20, 2025

On 03/20/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA met with designee Virginia Ramos. Administrator Neil Orillosa was called and stated unable to attend meeting. LPA met with designee Virginia Ramos. LPA observed four residents in the common area. LPA toured facility with designee and staff 2. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Refrigerator and kitchen pantry observed locked. Fire extinguisher was observed with a service date: 09/16/24. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 33 degrees F and freezer at -12 degrees F. Medications were observed locked kitchen shelves. MARS were reviewed and medications were checked. Cleaning supplies and chemicals stored and locked under kitchen sink. Sharps observed locked in kitchen shelf. Extra linens were observed. All bedrooms were observed to have the required furnishings and with adequate lighting. LPA observed to hospice residents lying in bed with full rail. The bathrooms were toured and observed operational during inspection. Hot water temperature was tested at 114 degree F in hall bathroom and 114.1 degree F in shared master bathroom. Outside of facility toured and observed to be free of debris. Adequate outdoor seatings available for clients. Side gate observed self-latching and self-closing. Smoke detectors and carbon monoxide were observed operational during visit. Half of residents’ files and a sample staff file were reviewed to have all required documents. A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. Exit Interview conducted. LPA received copies of Lic 308, Lic 500, Lic 610E, current liability insurance, theft and lost policies and procedure to CCL by 03/26/25. A copy of this report and appeal rights was provided to Administrator, whose signature confirms received of this report.