Routine inspection·November 24, 2025

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Patricia Duran De Garcia - House Manager and explained the reason for the visit. LPA spoke with Administrator Natalie Gonzalez over the telephone, who stated that she can not visit the facility today but designated Patricia Duran De Garcia- House Manager to sign the report. The facility is licensed to serve 17 non-ambulatory residents over the age of 60 with an approved hospice waiver for 2 residents. The facility is comprised of (6) single story cottages (casitas), each with (2) bedrooms and (1) bathroom and small living room and kitchenette. The common areas include a dining room, kitchen, TV/living area, activity /music room, staff bathroom in living area, (3) office spaces and a central courtyard area. At approximately 10:15am, with the assistance of House Manager, LPA conducted a facility tour and observed the following: The entrance is gated and kept locked from the outside, visitors are allowed in by ringing the door bell. Upon entering the front gate and upon exiting from the back gate, LPA observed functional auditory alarms being heard. There are cameras in front and back of the facility. During emergencies facility uses the back alley exit for evacuation. Smoke detector and monoxide carbon detectors are interconnected and there are fire sprinklers in common areas. There are two fire extinguishers located in the kitchen and four in the central courtyard. All fire extinguishers are fully charged with a charge date of 07/29/2025. The last fire and emergency drill was conducted on 10/01/2025. Continued on 809-C Bedrooms/Bathrooms: All the bedrooms were furnished with different style but all rooms had required beds, chairs, closets, dresser drawers and linens. Bedrooms # 35 and #39 are currently vacant. There is one shared bathroom in each cottage. All bathrooms had required non-skid mats, grab bars, liquid soap and paper towels. At 11/38am LPA pulled the cord in bedroom # 35 and wihtin 2 minutes staff came for assistance. Water temperature in four bathrooms were measured and hot water temperature measured between 108.1 °F. and 119.1°F; within the required range. Kitchen: All kitchen appliances and surfaces were clean and sanitary. The sharp objects were locked in a cabinet. The pantry and the refrigerator were supplied with a sufficient supply of perishable (2 days) and non-perishable (7 days) foods. LPA observed several expired containers of tomato sauce in the pantry; citation will be provided. Garage: There is an unoperable car in the garage. There are multiple cabinets and shelves for storing supplies and there is a refrigerator and freezer with food supplies. There are two laundry washers and two dryers in the garage and all detergents and chemicals are locked, inaccessible to residents. Medications: LPA observed the medications in a locked cabinet in the office, located by the kitchen. Medications for six (6) residents were counted and verified that medication were properly administered. LPA observed the medications removed from original containers and stored in weekly medicine boxes, citation will be provided. There are two complete first aid kits and first aid manual in the medicine cabinet. Staff files: LPAs reviewed staff files to ensure staff has fingerprint clearance, association to the facility, and current 1st Aid, CPR certificates. Client files: LPAs reviewed client records to ensure their files include medical assessments, appraisals, emergency contact information, and admission agreements. Pursuant to Title 22 Divisions the CA Code of Regulations, there were couple of violations observed the visit, which will be addressed by the licensee. Citations with appeal rights provided. Exit interview conducted and copy of the report issued .