Routine inspection·February 14, 2026

On 2/14/2026 at approximately 10:00 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by staff member (S3) and stated the reason for their visit. The Administrator, John Mallon arrived shortly after to assist with today’s visit. Upon arrival, LPA observed two (2) staff members (S2-S3). assisting residents with their aspects of daily living. LPA observed S3 to be wearing Personal Protective Equipment (PPE) gloves while cleaning the facility. S3 stated their first day of employment was 2/14/2026 and they help lift and transfer residents. LPA’s record review of the California Department of Social Services Guardian Background Check revealed S3 to have background clearance as of 1/26/2025 but was not associated with this facility. Additional record review of the Licensing Information System (LIS) confirmed S3 was not associated with the facility. Further record review of the facility’s file revealed on 1/17/2024 they were cited for failure to associate/transfer another staff member. LPA informed the Administrator that all staff members must be fingerprint cleared and associated prior to employment. LPA asked for the census, Staff/Resident Roster and Liability Insurance. LPA conducted a physical plant tour at approximately 2:00 PM and the following was noted: The facility is a single-story building with five (5) bedrooms and three (3) bathrooms. The facility is currently occupying four (4) residents. There is a designated staff room. The facility has an approved fire clearance for six (6) non-ambulatory residents. Hospice waiver approved for one (1). (Continue to LIC 809-C) Common areas: The living room and dining room were observed to be neat, clean, and organized. The rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 70°F. LPA observed a fire extinguisher to be located near the kitchen and dated 06/28/2025. LPA observed required postings such as Long-Term Care Ombudsman, Emergency Disaster Plan, and Personal Rights to be located alongside the common areas. A working telephone was observed. LPA observed the fireplace to be covered and inaccessible to residents. Kitchen: The kitchen was observed to be clean and free from pests. Sufficient supplies of seven (7) day nonperishable foods and two (2) day perishable foods were observed. Knives/sharps were observed to be kept in a locked kitchen drawer. The cleaning solutions/toxins were observed to be kept locked underneath the kitchen sink. Kitchen appliances were observed to be working and in proper condition. Laundry Room: The laundry appliances were observed to located near the kitchen. LPA observed cleaning solutions and toxins stored appropriately within the laundry room and inaccessible to residents. The laundry appliances were observed to be in proper condition. Garage: The garage can be accessed from inside of the facility. The garage was observed to be kept locked and used for storage purposes. Extra refrigerator and freezer with additional food for residents was observed. Bedrooms: The residents’ rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed to be stored in cabinets located within the hallway’s passageway. Staff Room: The staff room was observed to be kept locked. Bathrooms: The bathrooms were checked for cleanliness and proper operation. The hot water temperature was measured. LPA observed appropriate grab rails and slip-resistant mats to be in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. LPA observed there to be a locked non-operational pool properly fenced. (Continue to LIC 809-C) Medications: The medications along with staff and residents’ files were observed to be kept in a locked filing cabinet located in the staff room. First-aid kit observed. Smoke detectors and carbon monoxide observed to be working properly and were tested. Residents/Staff Records: LPA conducted a complete file review of resident records. Resident records appeared to be complete. Staff records: LPA conducted a complete file review of four (4) staff records. Staff records were not complete and updated. Citations issued, please refer to LIC 809-D. A civil penalty for $100 per day for a maximum of 5 days in the amount of $500 for criminal record clearance/transfer violation is being assessed on the attached LIC 421BG. There were no other immediate health and safety hazards observed during the day of inspection. Exit interview was conducted, appeal rights given and a copy of this report was provided to the Administrator.