Routine inspection·January 15, 2026

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required-1 year visit. Upon arrival, no one answered the door and LPA called the facility number. At 1:55pm, Brisia Rojas, DSP arrived and explained the purpose of the visit. At 2:00pm, Staci Mitchell, Administrator arrived and assisted LPA with the inspection. The facility is licensed to serve six (6) ambulatory adults 60 years of age or older with developmental disabilities. The facility is vendorized by the Frank D. Lanterman Regional Center. LPA inspected the facility using the Compliance and Regulatory Enforcement (CARE) tool and observed the following: Infection Control: Staff are adhering to infection control requirements. The staff use disposable gloves to clean and disinfect the high touched surfaces in the common areas. Facility has sufficient PPE supplies and has an Infection Control Plan maintained at the facility. Physical Plant/Environment Safety: The facility is a single-story home which consists of: living room, dining area, kitchen, four (4) bedrooms (3 residents and 1 staff), two (2) bathrooms, one (1) staff bathroom, and laundry area. Resident bedrooms were inspected and closet/drawer space to accommodate each resident comfortably was available. LPA inspected residents’ rooms and each resident bedroom has the required furniture such as bed frames, dressers, nightstand, lamps, and chairs. Bedrooms also have sufficient closet space. Extra linens and towels are kept in a hallway closet. The bathrooms are clean and operational. The hot water temperature was tested throughout the facility. Hot water temperature were measured between 105.2 degrees F to 106.1 degrees F which are within the required 105 - 120 degrees F Smoke detectors and carbon monoxide detectors were tested and operable. Two (2) fire extinguishers were fully charged and last serviced on 05/02/2025. Physical Plant/Environment Safety [Cont.]: The front yard and backyard are free of debris/hazards and the outdoor and passageways are free of obstruction. A shaded area with chairs is provided in the back yard. There is no evidence of bodies of water (pool). Sharps are kept in a locked cabinet and are inaccessible to residents. All storage areas for cleaning solutions, toxins, and hazardous items are kept in a locked cabinet and are inaccessible to residents. Operational Requirements: The facility has an approved fire clearance. Valid Infection Control Plan in place. Valid liability insurance and valid Surety Bond is in place. Last fire drill was conducted on 11/13/2025 and disaster drill was conducted on 12/20/2025. Staffing: A total of ten (10) staff members including the Administrator and Licensee provide care and supervision to the residents. Staff employed are over the age of 18 and have criminal background clearance, fingerprint cleared, have training and associated to the facility. Personnel Records-Training : LPA reviewed four (4) staff files which include Personnel Record, Health Screening, TB Clearance, Employee Rights, First Aid/CPR/AED training, and Staff Training. However, the Administrator has a valid Adult Residential Facility (ARF) Administrator Certificate that expires on 01/20/2026 in file but does not have a valid Residential Care Facility for the Elderly (RCFE) Administrator certificate in file. Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted: Residents Rights, Complaint Poster, and Ombudsman. Planned Activities: Facility provides scheduled activities and have a variety of activities to choose from within the facility. There is an outdoor activity area available for the residents. Food Service: Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. The food is properly stored in the refrigerator. Pesticides and cleaning supplies are kept away from the food preparation areas. LPA observed an appropriate food supply of two (2) days of perishables and seven (7) days of non-perishables. Incidental Medical & Dental: Medication is properly labeled and are centrally stored in a closet and are in their original containers. LPA reviewed six (6) residents’ medications and there were no issues observed. The first-aid kit is fully stocked w/first-aid manual. Resident Records-Incident Reports: Resident files are kept in a secure location (within staff room/office). LPA reviewed (6) Resident Files which includes the Face Sheet, Functional Capability Assessment, Appraisal Needs & Services Plan, Admission Agreements, Identification & Emergency Information, current Physician's Report, Ambulatory Status, TB Clearance, and Personal Rights. LPA reviewed Resident’s P&I. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least two (2) relocation sites. Residents with Special Health Needs: There are no bedridden or residents with postural supports at this facility. Per the Administrator, there is no resident at this home with incidental medical services nor have a restricted health condition. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809-D. Exit interview, appeals rights and a copy of this report were provided to the Administrator Staci Mitchell.