Routine inspection·February 10, 2026

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced required annual inspection using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Sonia De La Cruz, who was informed of the purpose of the visit. Administrators Michelle Navarro and Nino Navarro arrived shortly thereafter. The facility’s fire clearance is approved for six (6) residents over the age of 59. Bedroom #1 is approved for one (1) bedridden resident. Bedroom #3 is approved for two (2) non-ambulatory residents. Bedrooms #5 and #6 are each approved for one (1) non-ambulatory resident, and Bedroom #4 is approved for one (1) ambulatory resident. The facility may retain no more than five (5) hospice residents. At the time of inspection, three (3) residents were under hospice care. Facility Tour & Observations: Personal Rights postings (LIC 613C and Ombudsman), Complaint Poster (PUB 475), and nondiscrimination notice were observed in a common area. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons were present. Required “Oxygen in Use” signage was posted in visible locations throughout the facility in accordance with safety requirements. Physical Plant The facility is located in a residential neighborhood and is a single-story home consisting of six (6) bedrooms, three (3) bathrooms (one of which is a private shared bathroom), a living room, family room, kitchen, dining area, attached garage, front yard, and backyard. LPA observed five (5) resident bedrooms, with one (1) bedroom designated for staff use. All bedrooms observed contained the required furnishings, including a bed, mattress, linens, dresser, chair, and adequate lighting. (continued on 809C) Cleaning supplies and other toxic substances were observed to be inaccessible to residents and secured in a locked cabinet located in the kitchen. Bathrooms were clean and equipped with the required grab bars in the showers and near toilets, as well as non-skid mats. Hot water temperatures measured 107.4°F in Bathroom (1), 110.7°F in Bathroom (2), and 110.8°F in the private bathroom, all of which are within the required range of 105°F–120°F. Extra linens and towels were available and stored in hallway cabinets. Smoke and carbon monoxide detectors were tested and found to be operational. A fire extinguisher was observed near the dining room area and medication cabinet. No bodies of water were present on the premises. The backyard contained shaded seating for residents. Passageways and exits were observed to be clear and unobstructed. Food Service Refrigerators/freezers were maintained at proper temperatures (refrigerators maximum of 40 degrees°F and freezer 0-degree ºC ) with sufficient supply of 2-day perishable and 7 days non-perishable food. Fresh produce, proteins, and dry goods were stocked. Knives were observed to be accessible to residents due to a broken lock on the kitchen drawer. The Licensee/Administrator corrected the issue at the time of the visit by securing the knives in a locked location. Health-Related Services & Records Three (3) resident files were reviewed. While the files contained current required documentation including Admission Agreements, signed consents, Needs and Service Plans, Physician’s Reports documenting TB results and ambulatory status, and Resident Rights acknowledgments, LPA observed that Resident 2 (R2) and Resident 3 (R3) were missing required re-appraisals. Licensee/Administrator corrected the issue at the time of the visit. Three (3) residents’ medications were reviewed. Medications were observed to be centrally stored in a locked closet located in the living room. Disaster Preparedness Last fire/earthquake drill was conducted on December 25, 2025, with logs available. LIC 610D Emergency Disaster Plan was available and updated. Emergency supplies (water, food, flashlights, batteries, first aid) were observed. Infection Control Plan was updated. Personnel Records & Training Four (4) staff files were reviewed and included criminal record clearances, CPR/First Aid, required training and TB screenings. Administrator Certificate for Michelle Navarro was valid through May 04, 2026, and Nino Navarro valid through April 10, 2026. Insurance Liability insurance was in compliance with an expiration date of July 1, 2026. An exit interview was conducted with the Administrator Nino Navarro. During the inspection, deficiencies were observed and cited on the attached LIC 809D/809C in accordance with Title 22, Division 6 regulations. A copy of this report, LIC 809D/809C, and appeal rights will be provided via email.