Routine inspection·March 18, 2026

Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted an annual required visit and inspection of the facility. LPA met with staff, Stella Chiribogaaguilla and explained the reason for the visit. Approximately, around 9:20 AM staff designee, Ruzanna Manukyan, arrived and was explained for the reason of the visit. At 10:06 AM, with the assistance of of staff designee, LPA took a tour of the physical plant. Required postings were observed in the entry area. At 9:48 AM smoke alarms were tested and are operational. There are carbon monoxide detectors that functions properly. The fire extinguisher is beside the dining table and hallway. The charge date is 4.7.2026. During the visit the facility is at 73 degrees Fahrenheit. The facility is fire cleared for six (06) residents of which four (4) may be non-ambulatory. Bedroom #3, one (1) bedridden, bedroom 4 and 5 clear for three (3) non-ambulatory. Hospice waiver for four (4). Kitchen: The kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. Bedrooms: There were five (5) bedrooms designated for clients' and staff use. Four (4) of the that are in use by residents were properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Room #1, bedroom #4 and #5 are properly furnished and is for private used. Room #3 is shared. Bedroom #2 is for staff use. Staff bedrooms are locked with no medication in sight. Continue to LIC 809-C Bathrooms: There are three (3) bathrooms designated for residents' and staff use. Bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 105.4 degrees Fahrenheit for bathroom #1 located in the hallway beside bedroom #2. Bathroom #2 measured 105.9 degrees Fahrenheit bedside bedroom #4. Bathroom #3 is located inside bedroom #3, hot water measuring at 105.1 degrees Fahrenheit. Towels and washcloths are not shared. There was enough clean linen available in the cabinets. Common Areas : These included the living room and dining area for residents. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. Residents dining table fits enough for six (6). Surrounding Grounds : Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The laundry area and detergents are located by the laundry room beside the living room. Cleaning supplies are being stored in an unlocked cabinet in the laundry room beside the living room and under the unlock kitchen cabinet sink. Deficiency will be cited in LIC 809-D. The facility does not have a swimming pool or body of water. Office space is in the entrance area beside the entrance of the facility. Properly labeled medications were locked in the living room area cabinets. The facility does not have a garage, only car ports. Resident Files : LPA conducted a file review of resident records to ensure compliance of licensing forms. Staff Files : LPA also conducted a file review of staff records to ensure forms and training are up to date and compliance with licensing forms. Medications : Medication and Medication Records (MMR) were review for proper documentation. Pursuant to Title 22 Division 6 of the CA Code of Regulations, deficiencies observed during the visit. Deficiency will be cited in LIC 809-D. Exit interview conducted and a copy of the report issued.