Routine inspection·May 4, 2026

Licensing Program Analyst (LPA) Evelin Rios conducted an unannounced annual visit. LPA was greeted by two (2) staff members. Staff contacted the administrator, Marfiebeth Topacio and informed her LPA was in the facility. The administrator met LPA shortly after and LPA explained the reason for the visit. LPA Rios conducted a physical plant tour of the facility inside and out and the following was observed: Common Areas: These areas include the living room and dining room for resident use. The common areas were observed free of clutter, and appropriately furnished. The dining table with chairs and the living room furniture, including a couch and armchairs, provide sufficient seating for the facility’s capacity. LPA observed all passageways to be clear and free of obstructions and no tripping hazards observed. Kitchen: Appliances and fixtures were observed functioning properly. LPA observed knives and sharps locked in a kitchen drawer. LPA observed a sufficient amount of 2-day perishable and 7-day non-perishable food at the facility. The administrator showed LPA pictures of meals prepared since January 2026, which showed a variety of meals. LPA also reviewed the facility’s two-week meal plan. According to the administrator, resident preferences are incorporated into meal planning. One (1) fully charged fire extinguisher was observed near the kitchen, with the last service date of 03/03/2026. Bedrooms: There are five (5) bedrooms designated for residents' use. Four (4) Bedrooms are for private use and one (1) bedroom is shared. The bedrooms were properly furnished. LPA observed extra linens available in the cabinets in the hallway. (Continue to LIC 809-C) (Continue from LIC809) Bathrooms: There are two (2) bathrooms designated for residents' and staff. The bathrooms are by bedroom #1, #2 and #3. The bathrooms were properly supplied with hand soap, paper towels and toilet paper. Hot water temperature was measured in both bathrooms and measured between 113.4 and 114.3 degrees Fahrenheit, within regulation. While touring the bedrooms, LPA interviewed one (1) out of four (4) residents. Surrounding Grounds : The backyard is fully fenced. Entry and exits were free of obstruction. LPA observed appropriate outdoor furniture. No bodies of water observed. The doors leading to the outsides were equipped with auditory alarms, which were turned on and observed to be functioning properly. Laundry room: The laundry room is located by the kitchen and dining area. LPA observed the laundry room locked. All cleaning supplies and detergents were stored in a locked cabinet within the laundry room. Records: Records are stored in a locked closet and cabinet located near the staff bedroom and Bedroom #5. From 2:25 PM to 3:35 PM, LPA reviewed facility documentation, including four (4) of four (4) resident files and three (3) staff files. LPA also reviewed the Emergency and Disaster Plan (LIC 610E), the facility’s current liability insurance, Register Of Facility Residents (LIC9020) and Personal Report (LIC 500). LPA obtained copies to update the Departments facility's file. LPA also reviewed the facility's most recent fire drill conducted on 03/18/2026. Staff and resident records were reviewed for compliance with all required licensing documentation. Medications are centrally stored and locked in a cabinet by the staff's bedroom. Medication requiring refrigeration were observed locked in a small fridge on the kitchen counter. Centrally Stored Medication Records are completed manually, and the facility maintains a Medication Administration Record (MAR). Facility has a fully stocked first-aid kit with manual in a cabinet under the medication. At 3:39 PM, LPA observed the administrator test a dual smoke and carbon monoxide detector. Detectors are hardwired and interconnected to other detectors located through out the facility. Detectors were observed to be functioning properly. Pursuant to Title 22 Division 6 of the CA Code of Regulations, no deficiencies observed during the annual visit. Exit interview conducted. A copy of this report provided to administrator.