Routine inspection·August 12, 2025

Licensing Program Analyst (LPA) Daniel Konishi conducted a required unannounced annual inspection using the Inspection Tool. LPA met with Lead Staff, Eadgitha Manalad and the purpose of the visit was discussed. Staff #1 (S1) assisted in the tour of the facility. LPA met with Ronald Manalad shortly after and LPA explained the purpose of the visit. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit, today’s visit and the initial visit and observed the following: Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. LPA observed that the facility has an infection control plan in place. Operational Requirements: Fire clearance was approved by LA County Fire Department for six (6) residents, four (4) of which can be non-ambulatory. Liability Insurance is confirmed and currently on file. Physical Plant/Environment Safety: LPA conducted a tour of the facility with S1 and observed the following: The facility is part of a single-story home located in a residential area and contains the following: living room, TV room, dining room, kitchen with refrigerator, oven, stove, dishwasher, sink/faucet, (4) resident rooms, (2) bathroom for residents, toilet and washbasin, and A back yard with shaded area and seating for resident use. Physical Plant/Environment Safety [Cont.]: There’s a laundry area with a washer and dryer. All passageways, walkways, driveway, steps and patio are free from obstructions. The front, back and side areas of the house are free of hazards. Hallway linen closet: Contained plenty of linens, towels, and hygiene products. Beds have the required furniture including bed frames, nightstands, dressers, lamps, and chairs. Beds have the required linen and the linen is in good condition. Fire extinguisher was observed on hallway last reviewed 05/13/2025. Carbon monoxide detectors are tested and in working condition. Cleaning supplies are kept locked under kitchen sink away from food supplies. Sharps are kept locked in a kitchen drawer. Shared client bathrooms were observed to be clean and contained soap and paper towels. Signs promoting hand washing were observed. Water temperature in this bathroom#1 was measured at 109.0 degrees F and Bathroom #2 was measured at 113.8 degrees F which is in the required 105 – 120 degrees F per Title 22 Regulations. Staffing: A total of three (3) full-time staff members provide care and supervision to the residents. Personnel Records/Staff Training: Administrator’s certificate is active and effective through 09/10/2025. Three (3) staff files were reviewed for criminal background clearance and training. Staff Files include personnel records, health/TB screenings, employee rights, and 1st Aid/CPR/AED training. Resident Rights/Information: Residential Care Facility for the Elderly Complaint Poster (PUB 475) posted on the wall. Residents’ Personal Rights posted on the wall. Facility provides internet access for residents. Planned Activities: The facility has planned activities with monthly activity calendar and activity log. Facility has sufficient space to accommodate indoor and outdoor activities that are easily accessible. Food Service: The kitchen was inspected and has sufficient supply of 2-day perishable & 7-day non-perishable food. Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. Incidental Medical and Dental: Residents are assisted with self-administration of prescription and non-prescription medications. Two (2) centrally stored resident medication records were reviewed. Centrally stored medications are kept in a safe and locked place not accessible to residents in care. Medications are given according to Physician directions. Resident Records/Incident Reports: LPA reviewed two (2) resident files containing admission agreements, Physician's Report, medical/functional assessments, TB clearance, Appraisal/Needs and Services Plan, personal rights, and P & I money were reviewed. However, based on record review, LPA observed that Resident #1 (R1) did not have an updated medical assessment in file. Disaster Preparedness: A posted Emergency Disaster Plan LIC 610D containing emergency evacuation information was observed. An emergency drill was conducted in 06/01/2025. No manual restraints or seclusions are used in residents in care. Residents with Special Health Needs: There are no residents with postural support at this facility. The facility is free from odors of incontinence. LPA interviewed two (2) staff and LPA attempted to interview two (2) residents but LPA was unable to interview the two (2) residents since both residents were unable to answer questions on the day of the visit. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809-D. Exit interview, appeals rights and a copy of this report were provided to the as provided to the Lead Staff, Eadgitha Manalad.