Routine inspection·May 4, 2026

Licensing Program Analyst (LPA) Evelin Rios arrived to the facility listed above to conduct an unannounced annual inspection. LPA was greeted and granted access by a staff member. Upon entry, LPA signed in, observed appropriate postings and two (2) staff members in the facility. Staff contacted the Administrator, Renelyn Landicho. LPA met with administrator shortly after. LPA explained the reason for the visit. At 9:00 AM, LPA Rios with the assistance of staff and later with the administrator conducted a physical plant tour of the facility inside and out and the following was observed: Near the main entrance, LPA observed two (2) of the six (6) resident bedrooms (#5 and #6). These bedrooms are designated for private use and were appropriately furnished. Further inside the facility, LPA observed an open-concept living area, dining area, and kitchen. The living area was furnished with a television and adequate seating for the facility’s capacity. The kitchen was equipped with functioning appliances and fixtures. LPA observed knives and other sharps locked in a kitchen drawer, and cleaning supplies locked under the kitchen sink. The facility has a two-day perishable and a seven-day non-perishable supply of food. The dining area has appropriate tables and chairs to accommodate the facility’s capacity. LPA did not observe any tripping hazards. LPA observed one (1) of two (02) fire extinguishers fully charged with purchase date 03/20/2026. On the kitchen counter LPA observed the facility telephone accessible to residents in care. In the hallway leading to the four (4) other resident bedrooms and the bathrooms, LPA observed a closet containing facility storage and emergency water. (Continue to LIC809-C) (Continued LIC809-C) LPA also observed hallway cabinets with a fully stocked first aid kit and a first aid manual. Each resident bedroom was observed to be properly furnished, with adequate lighting and sufficient storage space. Bedroom #1 is currently used as a staff bedroom. LPA observed a fully charged fire extinguisher in the hallway outside of bedroom #4 fully charged with serviced date 08/25/2025. The facility has a total of three (3) bathrooms , one (1) of which is located inside the shared bedroom. LPA measured the hot water temperature in two (2) of the three (3) bathrooms. At 9:30 AM, the hot water temperature measured 108.1 and 108.7 degrees Fahrenheit, within regulation. The bathrooms were observed to be clean and properly supplied with toilet paper, paper towels, and hand soap. Bathrooms were equipped with grab bars and non-slip mats. The laundry room was observed locked. Inside the laundry room LPA observed a washer and dryer, the facility stores detergents in a locked cabinet. In a separate locked cabinet, LPA observed residents’ centrally stored medication and facility records. Another cabinet contained extra linens. Through the laundry room there is access to the attached garage. In the garage , LPA observed a second refrigerator used to store overflow food. The backyard is fenced in. There is a covered patio and appropriate furniture for residents to use. LPA observed a locked shed being used for storage. There are no bodies of water. Doors leading to the outside were equipped with auditory alarms that were observed on and functioning properly. From approximately 10:00 a.m. to 12:00 PM, LPA reviewed facility records, including four (4) of four (4) resident files and four (4) staff files. LPA reviewed the Emergency and Disaster Plan for Residential Care Facilities for the Elderly (LIC 610E) and the facility’s Emergency Evacuation Plan sketch. LPA observed that the sketch did not match the version submitted with the Fire Safety Inspection Request (STD 850). The administrator stated that the licensee had changed the room designations. Review of residents record determined there were no bedridden residents. The administrator agreed to update the Emergency Evacuation Plan Sketch so that it matches the Facility Sketch submitted with the STD 850 for consistency. LPA reviewed the facility’s current liability insurance, the LIC 500, and documentation of the most recent fire drill conducted on 03/11/2026. Documents were current. (Continue to LIC809-C) Centrally Stored Medication Records are completed manually, and the facility maintains a Medication Administration Record (MAR). Records were observed to be complete, up-to-date, and in compliance with licensing requirements. At 12:15 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. There is a fire door leading to resident bedrooms that automatically closed during the test. 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.