Routine inspection·May 12, 2026

Licensing Program Analyst (LPA) Evelin Rios conducted an Annual Required visit and inspection of the facility. This is a Residential Care Facility for the Elderly (RCFE) approved for five non ambulatory residents and 1 bedridden resident in bedroom #3. LPA rang the door bell and was greeted and granted access by a staff member who contacted the Administrator, Augustine Kehinde. LPA met the administrator shortly after and explained the reason for the visit. A physical plant tour was conducted of the facility inside and out and the LPA observed the following: At entry LPA observed required postings on the wall near the front door and the hallway leading to resident bedrooms. By the entry there is a closet where the facility stores extra hygiene products for the residents. Bedrooms: There are four (04) resident bedrooms in total. Two (02) bedrooms are shared and two (02) bedrooms are for private use. Resident bedrooms were observed properly furnished with appropriate beds, night stands and chairs. Doors in bedrooms leading to the outside have auditory alarms that were observed functional. Bathrooms: There two (2) and one-half (1/2) bathrooms. Two (2) are designated for resident use. Bathrooms were properly supplied and had functional fixtures. LPA took the hot water temperature from two (02) out of three (02) bathrooms and they measured between 107.6 and 111.2 degrees Fahrenheit. Kitchen: The kitchen appliances and fixtures were functional. LPA also observed a 7 day non-perishable and a 2 day perishable supply of food in the facility. The fire extinguishers are located by the entry and in the kitchen. They were observed fully charged with service date 04/13/26. Common Areas : These included two (02) living rooms, and the dining area. The common areas were properly furnished. The dining room has a table with chairs to sit the capacity of the facility. The living rooms have televisions and couches. The facility has a telephone accessible to residents. Surrounding Grounds : The backyard is fenced in. LPA observed that the entry/exits were free of obstruction. There is a shaded area for residents to use. The backyard is sufficient in space for outdoor exercise and activities. No bodies of water observed. Laundry/Garage: The laundry area is located in the attached garage. The door leading to the garage was observed locked. Cleaning supplies and detergents are kept locked in the garage. From 12:52 p.m. to 1:30 p.m., LPA reviewed four (4) of four (4) resident records and (4) staff records . Records were complete and in compliance with licensing forms. Medications are centrally stored and were observed locked in a cabinet by the workstation. Medications and medication records were reviewed for proper documentation. Centrally Stored Medication Records are manually completed by staff and facility keeps a Medication Administration Record (MAR). LPA reviewed the facility's, Certificate of Liability Insurance, Personnel Report (LIC500), Emergency Disaster Plan (LIC610E), and last Fire Drill training conducted on 04/01/2026. LPA requested that a copy of LIC610E and liability insurance be emailed to update the Regional Office facility file. The posted facility sketch and bedroom designations are inconsistent with Fire Safety Inspection (STD 850) dated 03/09/2007 however, Regional Office facility file has an STD 850 dated 03/05/2008 missing a facility sketch. LPA requested the administrator submit the facility sketch they are currently using and will follow up with the Fire Prevention Division regarding bedroom designations. Smoke detectors/carbon monoxide . All resident rooms are equipped with smoke detectors and the facility's smoke detectors are hard wired and interconnected. The facility has two (2) carbon monoxide detector is located in the hallway leading to the bedrooms and another one in the living room. Detectors were tested by administrator at 2:00 p.m., and were observed operational. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during todays visit. Exit interview conducted. A copy of this report provided to the administrator.