Routine inspection·March 14, 2026

Licensing Program Analyst (LPA) Jose Tan conducted an Annual Required inspection of this facility today. LPA initially met with staff Leonita Garcia, who called the Administrator Claire Francisco. The Administrator arrived 10 minutes later and explained the reason for the visit. A tour of the physical plant was conducted at 12:18 PM and the following was noted: There is only one entrance being utilized at the facility. The facility had submitted and approved Infection Control and Mitigation plan. The facility has a designated visitors' area at the backyard. The facility has sufficient stock of PPE in the storage room. The facility has five (5) bedrooms and three (3) bathrooms currently occupying four (4) residents. One (1) bedroom is designated for staff use. The facility is fire cleared for six (6) non-ambulatory residents, one of which may be bedridden on Room #5. The facility is also has an approved hospice waiver for six (6) residents. Kitchen: The kitchen appliances and fixtures were functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked drawer in the kitchen. Bedrooms: All five (5) resident rooms were properly furnished with appropriate beddings and linens with sufficient lighting. Bathrooms: The bathroom for residents' use was observed to have grab bars, non-skid mats and properly supplied with hygiene products. Hot water temperature was measured at a range of 112.5°F to 112.8°F. LPA did not observe any toxins or cleaning supplies in any of the bathrooms during the day's visit. (continued on LIC 809-C) (continued from LIC 809) Common Areas : These included the living room and dining area. The common areas were properly furnished. The dining room area and table is large enough to accommodate up to six (6) residents. The auditory alarms on all exit doors were on and functional at the time of the visit. There is a fire extinguisher located in the kitchen and was last inspected on 02/18/26. Dual smoke/carbon monoxide alarms are hardwired and inter connected, tested and observed to be operational. Surrounding Grounds : Entry/exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The laundry room is located going through to the garage and was locked at the time of the visit. Detergents and cleaning supplies are kept in the laundry room cabinet observed to be locked and inaccessible. There is no body of water at the facility. There is a tool shed in the backyard observed to be locked during visit. Garage: The garage was currently being used as frozen food, toxins and other cleaning supplies storage. The garage is attached to the facility but could only be accessed through the laundry room. Resident Files : Resident files are kept in a locked medication closet located by the bedroom hallway. LPA conducted a file review of resident records. Resident records are complete and updated.. Staff Files : Staff files are kept in a locked closet, also by the dining room. LPA conducted a file review of staff records and observed that the files are complete and updated. Medications : Medications are kept in a locked closet by the bedroom hallway. Medications and Medication Records were reviewed for proper storage and documentation. There is a complete first aid kit located in the medication closet. Disaster drill was last conducted on 12/04/25 . Required posting observed in facility (complaint hot line poster). 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.