Routine inspection·June 16, 2025

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and met with Milagros Lopez, Administrator. The reason for today's visit was provided. The facility is a single storey family home consisting of a living room, dining room, kitchen, three bedrooms, a private bathroom, a common bathroom and a detached garage. The facility is fire cleared for five(5) non-ambulatory and one(1) bedridden. Bedroom #3 is designated for bedridden use. The following was observed during today's visit: The living room and dining room was furnished with the appropriate furniture for 6 residents. The kitchen was equipped with a stove, microwave, a dishwasher and a refrigerator. Also observed were various appliances such as rice cooker, air fryer and water cooler. Located inside the kitchen is the laundry closet that houses the washer and dryer. The only fire extinguisher purchased on 3/1/25 is also mounted in the kitchen. Sufficient perishable foods for a minimum of 2 days and non-perishable foods for a minimum of 7 days was observed on the premises. Knives and the sharps container are locked in a kitchen drawer, Medications are stored in a locked kitchen cabinet, cleansing solutions are stored in a locked cabinet under the kitchen sink. All 3 resident bedrooms was furnished with 2 beds, 2 night stands, 2 lamps, 2 folding chairs, a shared set of drawers and a built in closet. The appropriate bed linens were observed on all the beds except for the hospital bed in bedroom #3. Per the Administrator, the resident does not want a flat sheet or blanket Page 2 and prefers the comforter. Bedroom #3 also has a sliding glass door that leads to the back yard. The auditory device was not operational when tested. Located inside bedroom #3 is a private bathroom equipped with a shower stall, grab bars, a slip resistant mat, a toilet and a single sink vanity. Shampoos, deodorants and other hygiene products are stored in locked drawers. The water temperature was tested and read 106.6 degrees Fahrenheit. The common bathroom, located by bedroom #1 was equipped with a bath tub/shower, a toilet and a single sink vanity. Grab bars were observed in the shower and by the toilet. A slip resistant mat and chair was observed in the shower. The water temperature was tested and read 112.6 degrees Fahrenheit. Additional hygiene products such as toothpaste, lotions were observed in the locked cabinet under the sink. Bath towels and extra linens were observed in a cabinet above the toilet. The hardwired smoke detectors located in all 3 bedrooms, hallway, living room and kitchen were tested and were operational. The only carbon monoxide detector located on the living room wall was also tested and was operational. The auditory device on the front door was not operational The first aid kit was inspected and had the required gauzes, strips, tweezer, scissors and an external thermometer. No first aid manual was observed. All active staff have current first aid/CPR training. All inactive staff are to obtain current first aid/CPR training prior to working alone with the residents. The facility has current general liability insurance that meets the required limits of $1 million per occurrence and $3 million total annual aggregate. The backyard was observed to have a table and chairs and an umbrella for shade. The hospital bed, head and foot board, fruit picker, discarded wood needs to be thrown out or stored away. Per the Administrator, the converted garage located in the back is used for storage of supplies. It is unknown if permits were obtained for the conversion and may not be inhabited by staff or residents. Trash cans were observed to be tightly sealed. The front yard was observed with a table and 4 chairs. Deficiencies were cited under California Code of Regulations, Title 22, Division 6, Chapter 8 Exit interview was conducted, Appeals Rights discussed and a copy was provided.