Routine inspection·July 24, 2025

Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced annual visit on 7/24/2025 and was greeted by two staff members. LPA stated the purpose of the facility was to conduct an annual inspection. Staff confirmed there are five residents living at the facility. The facility is licensed for six non-ambulatory residents. LPA and the caregiver toured the facility at 10:45 am until 11:15 am. Common Areas/Dining Room – LPA observed the living room contained comfortable seating along with a television. The dining room area contained a dining room table and chairs. Kitchen – LPA observed the kitchen was neat and clean. The knives were securely locked in a kitchen drawer. The facility contained a two day supply of perishable food and a seven day supply of non-perishable food items. A fire extinguisher is also located in the kitchen. LPA observed the cleaning solutions were stored in an unlocked cabinet. Resident Bedrooms - There are five bedrooms. LPA Spaeth observed two mattresses were on the floor and there was no bed frame in bedroom 2. Bedrooms 1, 3, 4 & 5 are furnished with a bed, linens, night stand, chest of drawers and a closet. Hallway Closets – LPA observed a kitchen closet which contained medications and a first aid kit. A hallway closet contained linens. Continued on 809-C Bathrooms - LPA observed the three bathrooms contained hand soap, paper towels, grab bars, and slip resistant mat. LPA tested the water temperature at 10:55 am, which was 105.0 degrees F. Laundry Room – LPA observed the room was locked and contained a washer and dryer. Smoke/Carbon Monoxide Detectors – The detectors were tested at 11:15 am and were operable. Backyard - LPA observed the backyard which has a shaded area with seating. Garage - LPA observed the garage was locked. The laundry detergent, cleaning solutions, and emergency water and food were located in the garage. Delayed Egress Devices - LPA observed delayed egress devices on all exit doors and all devices were properly working. Storage Buildings - There are one storage building in the backyard which was locked and contained tools. LPA reviewed client records at 12:00 pm until 12:15 pm LPA reviewed staff records at 12:15 pm until 12:40 pm. LPA reviewed the residents’ medications at 1:00 pm. LPA Spaeth reviewed the resident's medications at 2:15 pm until 2:30 pm. Pursuant to Title 22, California Code of Regulations, deficiencies will be cited (refer to LIC 809-D. Exit interview conducted, appeal rights discussed, and a copy of the report was given.