Routine inspection·April 8, 2026

On 04/08/2026, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced required – annual inspection and met with Staff . The Area Manager Irene Formentera arrived later. The facility is licensed to serve twelve (12) non-ambulatory residents age 60 and above. Four residents may be bedridden and rooms 1, 2, & 9 are cleared for bedridden. The facility has a hospice waiver for seven (7) residents. Annual Fees are current. The facility is a single-story family home located in a residential neighborhood. It consists of an attached garage (includes laundry area), front office, nine resident bedrooms (#1 - #9), five bathrooms, dining area, and living room. A shaded area furnished with outdoor patio furniture, including tables and chairs, surrounding the perimeter. Area Manager accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the facility were clear of hazards. Resident bedrooms had bed linens and closet/drawer space to accommodate each resident comfortably. Continue to LIC809-C. There are no security bars or weapons on the premises. The Fire Department conducted a fire prevention inspection on 04/02/2026. A disaster drill was conducted by the facility on 03/10/2026. Resident bathrooms were checked. Toilets worked properly, grab bars were secure, a non-skid mat was in place in the showers. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. Doorways were free of obstructions. LPA toured the kitchen and garage area and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives were kept in a locked cabinet in the kitchen. First aid kit was available. F ire extinguishers were serviced August 22, 2025 and are located in the garage and in the hallway. Five (5) staff records were reviewed, five (5) out of five (5) staff records had current first aid certificates and required criminal record clearances or criminal record exemptions. Five (5) resident records were reviewed, five (5) out of (5) resident records had medical assessments and pre-appraisal or reappraisals. Two residents’ medications were reviewed. A deficiency with civil penalty is being cited according to California Code of Regulations, see LIC809-D and LIC421IM. During the facility tour, between 10:30 AM - 10:55 AM, LPA measured the hot water temperature in the common, shared (rooms 4 and 9), and half bathrooms (near room 7) to be between 140 – 150 degree Fahrenheit. LPA did not observe a warning caution sign concerning hot water temperature. Continue to LIC809-C. LPA verified the temperature reading with Irene in room 4. Around 4:15 PM, LPA tested water temperature in room 7 and it measured at 125 degree Fahrenheit and the Resident #3 is ambulatory. An exit interview was conducted, plans of correction developed, technical assistance provided, and a copy of this report with appeal rights was discussed and left with Area Manager Irene Formentera .