Routine inspection·April 25, 2025

Licensing Program Analyst’s (LPA’s) Christian Gutierrez and Gaby Castro conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA’s met Caregiver Yerele Fuentes at approximately 8:30 AM and explained reason for visit. Administrator Gregory Restum was notified by telephone. The facility is licensed to serve 22 residents over the age of 60, of which (12) may be non-ambulatory and/or 12 may be bedridden on the 1st floor only, with a hospice waiver approved for 12 residents. The home is a two-story building located in residential/commercial area and consist of the following: first floor has 10 bedrooms, 3 bathrooms, 2 closets, office space, and the kitchen; second floor has 6 bedrooms and 2 bathrooms, a front yard, a back yard, parking, and a laundry in the basement. LPA’s observed random resident bedrooms to have the required furniture, sufficient lighting, and closet/storage space. Resident bathrooms and shower rooms are equipped with required grab bars and non-skid mats. The hot water temperature in the bathrooms were not measured between the required range of 105-120 degrees F. downstairs bathroom #1 140 degrees, bathroom #2 127.2 degrees, and upstairs bathroom #1 68.1 degrees. The facility has a commercial kitchen. LPA's observed the floors to be dirty. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. Fire extinguishers were observed throughout, with current inspections and were fully charged. Cleaning supplies/toxins were observed to be accessible to residents in care in downstairs laundry room. The carbon monoxide devices both upstairs and downstairs did not work. Auditory devices on two doors did not work. The facility is equipped with surveillance cameras in common areas. The facility does not have any swimming pools or large bodies of water. There is a shaded seating area for the residents outside. Passageways and exits are free of obstruction. SEE LIC 809c Five (5) staff files were reviewed and included Criminal clearance record, CPR/training, and health screening with TB. Five (5) residents files were reviewed and included physicians report, TB clearance, and appraisal needs and service plan. Last fire/earthquake drill was conducted in April of 2025. Infectious control plan was reviewed. Two (2) staff and four (4) residents were interviewed. Random resident medications were reviewed. Medications are centrally stored and locked MAR log is used. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809Ds. Exit interview held and a copy of the report along with appeal rights were provided.