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Inspection visit

Routine inspection

THREE SYCAMORES ON GOULDLicense 197607355
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

On 04/07/26, at 8:55am, Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. Bernadette Babelonia, Caregiver was advised of the visit. Sean Abalajon, Administrator was called and arrived about five (05) minutes later. LPA asked for the census, resident, and staff files. The facility is a one (1) story home that has a total of five (05) bedrooms and three (03) bathrooms. Fire Clearance is approved for six (06) non-ambulatory and the facility has a hospice waiver for one (01) resident. Last fire drill/Fire Alarms were conducted on 04/01/2026. The living and dining room are neat and clean. The smoke and carbon monoxide detectors are hardwired, interconnected and observed to be operational. Fire extinguisher is located near the kitchen, observed to be full and last purchased on 03/2026. There are cameras in the common areas. There is a signal system in the house. Kitchen is sufficiently stocked with at least seven (07) days perishable and seven (07) days non-perishable food. Frozen foods are wrapped and stored appropriately. Kitchen cabinets contain extra food. Knives and sharps are observed to be locked and inaccessible to residents in one (1) of the top cabinets. The medication is kept in the kitchen area locked and inaccessible to the residents in a top cabinet. The toxins/chemicals are kept under the sink. There are two (2) sinks in the kitchen. LIC 809C-continued There is one (1) washer and dryer outside in the backyard in a secured area. Living Room and Dining Room: LPA observed the living room and furniture to be clean and in good repair. LPA observed the dining area to be clean and in good repair. The dining room area has several chairs for residents and a fire place covered. The facility temperature is between 68 and 69 degrees Fahrenheit. There is another fire extinguisher in the hallway fully charged with an expiration date of 03/2026. There is also another fire place that is covered. Bedrooms: Facility has five (5) bedrooms. All bedrooms are single occupied. Two (2) bedrooms have a private bathroom and the other bathroom is in the hallway. Bathrooms: There are three (3) bathrooms that have proper grab bars, non-skid mats. The bathrooms contained a trash can with tight-fitting lid. Hot water was tested and measured between 110.8 F and 110.9 F within regulations. Outside/Backyard: There is a detached garage. The outside/backyard has furniture for residents to have proper seating and a television. There is a no bodies of water. There is also a shed in the backyard and an extra refrigerator. Administrative: The administrative Certification is current and expires 05/15/2026. There is a yes sign, Ombudsman, Personal Rights and Emergency Disaster Plan, Rights of Resident Council, Emergency Numbers against the wall of the facility on your right-hand side of the entrance of the facility. There is proof of insurance. Staff/Resident Files: LPA reviewed five (5) resident files and four (4) staff files. An exit interview was conducted, no citation(s) were issued and a copy of this report was given to the administrator.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the April 7, 2026 inspection of THREE SYCAMORES ON GOULD?

This was a inspection inspection of THREE SYCAMORES ON GOULD on April 7, 2026. The inspection found no deficiencies and no citations were issued.

Were any citations issued to THREE SYCAMORES ON GOULD on April 7, 2026?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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