Routine inspection·March 27, 2026

Licensing Program Analyst (LPA) Evelin Rios arrived to the facility mentioned above to conduct an unannounced required annual visit. LPA was greeted by a staff who granted entry. Staff contacted the administrator, Marita Amorsolo to inform her LPA was at the facility. In the facility LPA observed a second staff in the kitchen and three (3) residents in the dining area. LPA briefly spoke with the residents. LPA met with the administrator shortly after and explained the reason for the visit. This is a Residential Care Facility for the Elderly (RCFE) with an approved fire clearance for six (6) bedridden residents for a total capacity of six (6) and a hospice waiver for four (4). At 9:20 AM LPA initiated a physical plant tour of the facility inside and out and the following was observed: At the entrance of the facility LPA observed a sign in log for visitors, a digital thermometer affixed to the wall and PPE supplies. Along a wall leading to the common area LPA observed required postings such as a facility sketch with marked emergency exits and an assembly point. The administrator certificate was also posted and active. The facility has an open-concept layout that connects the kitchen, living room, and dining area. LPA observed cameras in the common areas. There are two (2) fire extinguishers, both fully charged with purchase receipts dated 3/11/2026. In the kitchen LPA observed the kitchen to be clean and clear of clutter. Appliances and fixtures were functional. LPA observed a sufficient amount of two-day perishable and seven day non-perishable food in the refrigerator and pantry. Knives and sharps were stored in a locked drawer inaccessible to residents. Centrally stored medication and a fully supplied first aid is stored in a locked kitchen cabinet. In the living room and dining area LPA observed the furniture to be in good repair and sit the capacity of the facility. (Continue to LIC809-C) In the living room LPA observed a fireplace not in use properly secured. There is a television, activity books and games for residents. LPA did not observe any tripping hazards. Doors leading to the outside have auditory alarms there were on and functioning properly during the visit. Through a locked door by the kitchen, there is access to the staff rooms and the attached garage. Inside the garage , LPA observed a washer and dryer. All detergents and cleaning supplies are stored locked in the garage. LPA also observed a second refrigerator used to store an overflow of food. The garage is also used as a storage area and contains the facility’s supply of emergency water. In the hallway leading to the four (4) resident bedrooms , LPA observed a carbon monoxide detector. At 9:30 AM, the detector was tested and found to be functioning properly. In the hallway cabinet, LPA observed extra linens. Bedroom #1 is shared. Bedrooms designated for residents were furnished with a bed, night stand, chair, dresser, bedding, sufficient lighting and closet space. The facility has two (2) bathrooms for residents. Bedroom #1 has a private bathroom. The other bathroom is located in the hallway. LPA observed the bathrooms had functioning plumbing and fixtures equipped with grab bars, and non-skid mats. The hot water delivered in the common bathroom and private bathroom was measured at approximately 9:44 AM and read between 108 and 111 degrees Fahrenheit, within regulation. The backyard has two (2) shaded areas with appropriate outdoor furniture. LPA observed the passageway to the exit was clear of obstruction. There is a sufficient amount of outdoor space for residents. There is no swimming pool or bodies of water. There is a locked shed used for storage. At 10:45 AM LPA reviewed and obtained copies of the Emergency Disaster Plan (LIC610E), active Liability Insurance, and Personnel Report (LIC500). At 11:29 AM LPA reviewed staff and resident records along with centrally stored medication and medication records. LPA conducted a file review of five (5) resident files to ensure licensing forms were complete and in compliance. LPA also conducted a file review of three (3) staff records to insure training documents are in compliance and complete. Medication and Medication Records were reviewed for proper storage and documentation. LPA observed the administrator test smoke detectors at 1:00 PM and they were observed functioning properly. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during today's visit. Exit Interview was conducted and a copy of the report was provided to the Administrator.