Routine inspection·October 21, 2025

Licensing Program Analyst (LPA) Michael Cava conducted an Annual Required visit and inspection of the facility. LPA met with staff, Aniyah Williams, and explained the reason for the visit. At approximately 9:30am, with ith the assistance of staff, LPA took a tour of the physical plant. The facility is a one story building. Required postings were observed in the entry area. The smoke alarms are battery operated. The carbon monoxide detector is installed in the living room. Both were tested and functional during visit.. The fire extinguisher located in the kitchen. It was charged July 2025. Emergency evacuation drill was last conducted on September 18, 2025 Kitchen: The kitchen appliances and fixtures are functional. LPA found a sufficient amount of perishable and non-perishable food properly sealed and stored. Knives are stored in a locked drawer in the kitchen. Cleaning supplies are locked in a cabinet underneath the kitchen sink. Bedrooms: There are four (4) bedrooms designated for residents' use. At this time, all bedrooms are occupied for private use. Bedrooms were observed to be properly furnished with appropriate beddings and linens with sufficient lighting. Passageways going in and out of the rooms were clear of obstruction. Bathrooms: There are two (2) bathrooms designated for residents' use. Both bathrooms were properly supplied and had functional fixtures, grab bars and non-skid mats. No cleaning supplies were observed in either of the bathrooms. Hot water temperature measured at 110 degrees. Common Areas : These included the living room and dining area. The living room has sufficient seating with a couch and chairs Living room is also furnished with tables and a television. There is no fireplace. The dining table is large enough to seat up to six (6) residents. The auditory alarms on all exit doors were on and functional at the time of the visit. Surrounding Grounds : Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. There is a storage building, in the backyard, which was checked and locked. There is no swimming pool or any other bodies of water. Laundry Area: The laundry area is located by the kitchen. No detergents, fabric softener or cleaning supplies were observed out during the day's inspection. Garage: Garage is converted into staff room. Staff Room/Work Station: Staff room is located next to the laundry area. It's kept locked and inaccessible to the residents in care. Resident Files : Resident files are kept locked in a cabinet by the living room. LPA conducted a file review of resident records to insure compliance of licensing forms. Staff Files : Resident files are kept locked in a cabinet by the living room. LPA also conducted a file review of staff records to insure forms and training are up to date and compliance with licensing forms. Medications : Medication cabinet is located by the dining room. Medication and Medication Records were reviewed for proper storage, locks and documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, there were no deficiencies observed during the visit. Exit Interview Conducted and a Copy of the Report Issued.