Routine inspection·February 11, 2026

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 10:18AM. The LPA met with the Administrator Arlene Ceballos and Licensee Izhak Illouz arrived shortly thereafter. Entrance interview conducted. Beginning at 10:24AM, the LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS/RESTROOMS: There were six (6) total bedrooms, each private. Bedrooms #3 and #4 have direct exits to the outside with Bedroom #4 cleared for one (1) bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in a closet located in the hallway. There were four (4) total restrooms in the facility: three (3) private resident restrooms and one (1) common restroom. Restrooms were clean, sanitary, and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Sink cabinets were locked and contained hygiene products. Hot water was tested and measured between 109 degrees F and 115 degrees F, which is within the required range per regulation. Report Continued on LIC 809-C COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. Required postings were located near the entryway. The facility maintained a comfortable temperature throughout the visit. Night lights and exit signs were observed throughout the facility. The facility had a den that was utilized as a staff break room as well as a general private meeting area. KITCHEN: The LPA observed knives, medications, and cleaning supplies secured. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable and non-perishable food, as well as emergency food. Food in the refrigerator and freezer were observed to be properly stored with labels and dates. Attached to the kitchen was a laundry room with machines in good condition. OUTDOOR AREA: The surrounding grounds had a shaded patio area equipped with furniture in good condition for resident and visitor use. There were two (2) emergency exits located on the sides of the facility with a self-latching mechanism. All exits and passageways were free of obstructions. There was a garage that contained general storage, extra food, and emergency water. RECORDS: Record review began at 10:48AM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were in order. MEDICATIONS: Medication review began at 11:54AM. Medications were centrally stored and kept inaccessible in the kitchen. Medications were observed for two (2) residents. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. The Licensee and Administrator were advised to maintain medications in their original containers. Report Continued on LIC 809-C INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and reviewed annually as required. Fire extinguishers were observed throughout the facility and was last serviced on 01/05/2026. Emergency disaster drills are conducted quarterly, with the last documented drill on 01/08/2026. Smoke and carbon monoxide detectors were tested at 12:07PM and were operational. No deficiency cited. Exit interview conducted. A copy of the report was reviewed and provided.