Routine inspection·March 17, 2026

On 03/17/2026 Licensing Program Analyst (LPA) M. Garza arrived at the facility to complete an unannounced annual visit. LPA met with Executive Director (ED), Perla Pena, explained reason for visit and was permitted entry into the facility. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. Residents observed in common areas and in rooms. Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operate on a fire system. Fire system last tested on 03/21/25. Fire extinguisher last serviced on 03/21/25. Resident rooms observed to have the required furnishings and with adequate lighting. LPA observed sufficient seating under covered patio areas. The following issues were observed during today’s visit: 1 of 5 files did not have an admission agreement. 5 of 5 resident files reviewed did not have a pre-placement appraisal. 1 of 5 resident files reviewed did not have a TB test completed. 5 of 5 resident files reviewed did not have personal property/valuables completed. 5 of 5 resident files did not have a functional capabilities completed. Deficiencies cited per California Code of Regulations, Title 22, deficiencies are being cited on the attached 809D. If not corrected, the violation with have a direct risk to the health, safety and/or personal rights of residents in care. LPA requested the following documents to be submitted to CCL by 03/20/2026: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-E), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020), a current copy of liability insurance in order to update the facility file. Exit interview was conducted with Executive Director, Perla. A plan of correction was developed by ED and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided.