Routine inspection·December 9, 2025

On 12/09/25, at 9:10am., Licensing Program Analyst (LPA) Gina Saucedo arrived at the facility to conduct an unannounced, annual visit. LPA was met by Nelson Panganiban , Caregiver. One (1) of the administrators were called and Brandon Zinkofslay-Administrator arrived shortly after. LPA asked for the census, resident, and staff rosters. At the entrance of the facility there is a sign for Resident Bill of Rights. There is also a staff, storage closet locked and inaccessible to residents. The physical tour started at 10:20am. There is no garage but there is a carport area. There is also a shed in the backyard locked where there is extra wheelchairs and beds for residents. There is an extra refrigerator outside with extra food. Backyard: There is a table set and chairs for residents use. There is enough seating for six (6) residents. There is a pool that is fenced and gated inaccessible to the residents. Medications are in a cabinet locked and secured in the kitchen area. It is inaccessible to residents. The first aid is also located in this cabinet. LIC 809C-continued Kitchen area was observed to be clean. The refrigerator is fully stacked for six (6) residents. LPA reviewed the food service area, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the six (6) residents currently residing there. There is an excess of perishables in several of the cabinets. In addition, there is the YES sign, Rights of Residents and Ombudsman signs. There is a fire extinguisher located in the kitchen against the wall, dated April 2025 and fully charged. Living and dining room furniture is accessible for six (6) residents. There is a television and enough seating for six (6) residents. There is internet accessibility a phone line available for resident use. Furniture was observed to be in good condition and the fireplace has a covering around it. There is a laundry area with one (1) washer and dryer. The toxins and sharps are kept on the side and on top of the laundry area locked and secured inaccessible to he residents. There is smoke detectors and carbon monoxide detectors that are functional throughout the house. Bedrooms: There is seven (7) bedrooms. Six (6) bedrooms are single, occupied for residents, One (1) bedroom is for staff use. There is three (3) bathrooms. One (1) private bathroom is in a resident's room and one (1) full bathroom is in the hallway along with a half bathroom. The bathrooms read a temperature between 115 and 116 Fahrenheit. All bedrooms are properly furnished with proper lightning. The bathrooms have proper toiletry and grab bars. There are several extra closets in the hallway with extra linen. Temperature of facility wall thermostat is observed and set to 75 degrees Fahrenheit. Administrative: The administrator showed proof of insurance plan which is effective until 01/22/26. The last earthquake/fire drill was conducted in October 2025. Staff/Resident Files : Four (4) staff files were reviewed. Four (4) staff did not have a current CPR and one (1) staff was missing health screening. Six (6) resident files were reviewed. Six (6) files were missing resident appraisal. An exit interview was conducted, citation(s) were issued, appeals rights and a copy of this report was given to the administrator.