Routine inspection·January 10, 2026

On 01/10/26 Licensing Program Analyst arrived at the facility to complete an unannounced annual visit. LPA met with Caregiver, Jessica Velasquez, explained reason for visit and was permitted entry into the facility. Administrator, Taelor OConnor arrived a short time later. LPA completed a tour of the facility. A health and safety check was completed on residents in care. There were 5 residents present during todays visit. 3 of 5 residents are receiving hospice services. 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 present and operational at time of visit. Fire extinguisher last serviced on 4/29/25. Last fire drill on conducted on 10/25/25. Resident rooms observed to have the required furnishings and with adequate lighting. Sharps, chemicals and medications were located in locked cabinets/closets and cupboards. LPA observed sufficient seating under covered patio areas. The following issues were observed during today’s visit: 3 of 3 residents receiving hospice services does not have a hospice care plan. 1 of 3 resident files reviewed does not have a current medical assessment completed within the last year. Medication observed present without prescription. 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 01/16/2026: 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) and a current copy of liability insurance in order to update the facility file. Exit interview was conducted with Administrator, Taelor. A plan of correction was developed by Administrator and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided.