Routine inspection·April 16, 2026

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced annual inspection visit on 04/16/2026 and was greeted by Caregiver Benjamin Aguila. Administrator Levita Maghirang arrived shortly after. LPA Ramirez explained the purpose of the visit. The facility is located on a residential street and is a single store dwelling. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Physical Plant and Environment safety: LPA Ramirez discovered one (1) accessible 2liter bottle of liquid drain opener, in a unlocked bathroom cabinet. Staff immediately removed the liquid sink drainer and placed them in a location inaccessible to residents. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected three (3) resident rooms. LPA did observe Residential Care Facility for the Elderly (RCFE) Complaint Poster (PUB 475) near dining room table; however, the poster was not 20" x 26" as required and was not posted in the main entryway of the facility. LPA issued one (1) deficiency based on this observation. All resident bedrooms contained required furniture, linens and lighting. LPA tested/measured faucets in bathroom#1 and #2 to read 144.5 F degrees. LPA Ramirez issued one (1) deficiency based on this observation. LPA Ramirez observed grab bars near toilets and inside shower. LPA Ramirez observed no-slip mat in showers. SEE 809-C Food Service: LPA Ramirez observed sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C). Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents. Residents Rights-Information: LPA Ramirez observed the following postings in common areas throughout the facility: personal rights, and nondiscrimination notice. LPA Ramirez observed facility land line. Disaster Preparedness: Administrator Maghirang was unable to provide documentation of emergency drills. LPA will issue one (1) deficiency based on this observation and staff interview. Emergency Disaster Plan was not available when requested. According to Administrator Maghirang, she maintains these documents at her home. LPA will issue one (1) deficiency based on staff interview. LPA Ramirez observed facility sketches with exits and emergency exits routes throughout various locations of the facility. LPA Ramirez observed emergency food supply located in pantry. Residents with Special Needs : No large bodies of water were observed. LPA Ramirez observed R4's bed had full bed rails during inspection. During record review, LPA did not observe documents indicating R4 was receiving hospice care. Interview with staff revealed R4 is no longer on hospice. Based on observations and staff interviews, LPA issued one (1) deficiency. During facility inspection, LPA observed R6 & R7 in a shared room. R6 is currently receiving hospice care. During record review, LPA did not observe a signed statement by R7 indicating their acknowledgment that R6 intends to receive hospice care in the facility for the remainder of R6's life, and the roommate's voluntary agreement to grant access to the shared living space to hospice caregivers, and the resident's support network of family members, friends, clergy, and others. Health Related Services/Incidental Medical Services: The medications are centrally stored in the medication closet and in bubble packs and/or original containers. The facility provides incidental medical services. Staffing: Administrator Certificate for Levita Maghirang is pending renewal. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. SEE 809-C Personnel Records Training: Staff files are maintained at the facility. LPA Ramirez observed required CPR and First Aid for three (3) out of the three (3) personnel record reviewed. LPA Ramirez observed TB testing results, Health screening, fingerprint clearance and job application for three (3) out of the three (3) personnel record reviewed. During personnel record review, LPA did not observe completed documented proof of S1 & S2 annual and initial training. Staff interviews revealed initial & annual training sessions were completed and documented, however, the documented proof was not placed in S1 & S2's files. LPA issued one (1) deficiency based on this observation and staff interview. Infection Control: There are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high touched surfaces. Facility has an Infection Control Plan in place. Operational Requirements: The fire clearance is approved for six (6) non ambulatory residents of which three (3) may be bedridden. The facility may retain four (4) hospice residents. There is currently one (1) resident on hospice care. Resident Records/Incident Reports: During record review, LPA Ramirez observed R7's medical assessment was incomplete and not endorsed by the physician that conducted R7's assessment. LPA Ramirez did not observe a signed original admission agreement for R7. California Code of Regulations, Title 22, eleven (11) deficiencies are being cited. Exit interview was conducted. A copy of this report and appeals rights were provided