Routine inspection·June 6, 2026

Licensing Program Analyst (LPA) Jose Tan met with Maria Trillana for a Required One (1) Year visit. LPA explained the reason for the visit. A tour of the physical plant was conducted at around 12:55 PM and the following was noted: There is one entrance being utilized at the facility. The facility has a total of four (4) bedrooms for residents and three (3) bathrooms. The facility is fire cleared for six (6) non-ambulatory of which two (2) may be bedridden and a hospice waiver for three (3) residents. The facility is currently occupying five (5) residents. The facility has outdoor furniture with a covered shaded area for residents and visitors. The facility does not have a swimming pool/body of water. The garage is currently being used for tools, frozen food and old equipment storage. Laundry detergents, cleaning agents and other toxins are locked in a cabinet by the laundry area. Kitchen is sufficiently stocked with at least two (2) days perishable and seven (7) days non-perishable food. Frozen foods are wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. Knives and sharps are observed to be locked and inaccessible to residents. The living and dining room are neat and clean. The facility maintains a comfortable temperature at 76°F. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located in the kitchen, observed to be full and last purchased on 05/24/26. The facility is equipped with sprinkler system. (continued on LIC 809-C) (continued from LIC 809) Bathrooms: There are three (3) full bathrooms designated for residents' use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured between 113.7°F to 118.9°F. No cleaning supplies were observed in any of the bathrooms during the day of the inspection. Surrounding Grounds : Backyard and side area has sufficient space to hold outdoor activities. There is a side patio which is covered and had a full view of the neighborhood and equipped with air conditioning. There is furniture appropriate for outdoor use. There is a locked storage building for extra supplies. There is no swimming pool or any other bodies of water. Laundry area : The laundry area is located adjacent to the kitchen. Laundry detergents/cleaning supplies are stored inside the locked cabinet by the laundry area. Resident Files : LPA conducted a file review of resident records. Records were observed to be complete and updated. Staff Files : LPA also conducted a file review of staff records. Staff records were observed to be complete and updated. Medications : Medications are stored in a locked cabinet by the kitchen. Medication and Medication Records were reviewed for proper storage and documentation. First aid kits observed to have complete accessories with booklet kept by the kitchen. Garage: The garage is not attached to the home. It is located in the back. Garage is used for additional storage. It was locked during the day of the visit. Disaster drill was last conducted on 04/28/2026. Required posting observed in facility (complaint hot line poster, personal rights, etc). There was no health and safety hazard observed during the day of inspection. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the visit. Exit Interview Conducted and a Copy of this Report Issued.