Routine inspection·August 29, 2025

Licensing Program Analyst (LPA) Nadia Shahbazian conducted an Annual Required visit and inspection of the facility. LPA met with Administrator Diana Castellanos and explained the reason for the visit. Facility is licensed to serve 6 non-ambulatory residents over the age of 60, of which (3) may be bedridden, with a hospice waiver for (2). Current census is 5 residents, (1) of which is receiving hospice services. Facility has a valid Certificate of Liability Insurance, with expiration date of 05/20/2026. At 9:45am, with the assistance of administrator, LPA took a tour of the physical plant. Required postings were observed in the entry area. The auditory alarms on all exit doors were installed and functional at the time of the visit. The smoke/carbon monoxide detectors are hardwired and interconnected. At 10:10 am the smoke/carbon monoxide detectors were tested and observed to function properly. The are two fire extinguishers, one in the laundry room and one in the hallway. Both fire extinguishers are full with a charge date of 04/27/2025. Facility conducts quarterly emergency drills. The last fire and earthquake drill was conducted together on 07/07/2025. Facility uses the front entry door as the main exit. There is an additional exit door on the hallway next to bedroom #1 and another exit door in the laundry room. There is a side gate, in the front, for emergencies as well. Kitchen: The kitchen appliances include a refrigerator, stove/oven and microwave; all fixtures were functional. LPA found a sufficient supply of perishable (2 days) and non-perishable (7 days) foods at the facility. Knives were stored in a locked drawer in the kitchen and detergents/chemicals were stored locked, underneath the sink. All kitchen surfaces and cabinets were observed to be clean and sanitary. Common Areas : These included the living room and dining area. The living room was furnished with sofas, a television set and a cabinet for storage of games. Dining room was furnished with a dining table and six chairs, appropriate for number of residents. Continued on 809-C Bedrooms: There are five (5) bedrooms designated for residents' use. Bedroom #1 and #2 are designated for bedridden residens. All bedrooms are were properly furnished with appropriate beddings, chairs, cabinets, linens and have sufficient lighting. Bathrooms: There are two (2) bathrooms, one for staff use and one for residents' use. LPA observed functional fixtures, grab bars and non-skid mats in each bathroom. Hot water temperature in resident bathroom was measured at 115.4 degrees Fahrenheit. Surrounding Grounds : There were no pool but there is a tall water fountain, against the back wall of the backyard. Surrounding areas were clean, sanitrary and clear of obstructions. There is a covered patio with furniture appropriate for outdoor use. There is a side gate for emergencies and there is a detached garage, currently used as storage. LPA observed a refrigerator, with supply of perishable foods in the garage. Facility has a power generator and is equipped with visual cameras throughout the front yard, back yard and common areas. In addition facility has internet, cable and telephone lines for resident's use. Laundry Room: The laundry room is located near the kitchen and has an exit door, leading to the backyard. Both washer and dryers are functional; the chemicals and detergents are kept locked in cabinets. In addition there is a cabinet for emergency food and a supply of non-perishable food items. LPA observed three cans of vegetables with expiration date of 05/07/2025. Administrator immediately removed and trashed the cans. A citation will be issued for the expired food supply. Resident Files/Medications : Resident files for all five residents were reviewed to ensure compliance with required documentation. Medications for 3 out of 5 residents for counted for accuracy of administration. Office Area: Office is located near bedroom #1. LPA observed resident and staff files locked in the office area. The medications were kept locked in cabinets and in a locked refrigerator in the office. A complete first aid kit and the first aid manual were also kept in the office. Staff Files : LPA also conducted a file review of records for 4 staff, to insure forms and training are up to date and in compliance with licensing requirements. Deficiency cited and cleared during today’s visit. Appeal rights issued and given. Exit interview conducted and copy of this report was provided to the administrator.