Routine inspection·April 7, 2026

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced required annual visit using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Rudy Trinidad and explained the reason for the visit. Administrator Alaina Hendricks arrived shortly thereafter. This home is licensed to serve 6 residents ages range 60 and over, six (6) non-ambulatory and the facility is approved to accept/retain four (4) hospice residents. There was (3) resident under hospice care during inspection and one (1) on home health. Facility Tour & Observations: Personal Rights postings (LIC 613C and Ombudsman), Complaint Poster (PUB 475), and nondiscrimination notice were observed in a common area. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons we re present. Oxygen signages were observed throughout the facility. Physical Plant The facility is located in a residential area and is a one-story home consisting of four (4) resident bedrooms, two (2) bathrooms (one of which is a private restroom), three (3) caregiver sleeping areas located in and near the garage area, a living room, kitchen, dining area, attached garage, front yard, and backyard. LPA observed all four (4) resident bedrooms, which contained the required furnishings, including a bed, mattress, linens, dresser, chair, and adequate lighting. Hoyer lifts were available in resident rooms to assist with mobility and transfers. Cleaning supplies and toxic substances were stored in a locked area in the garage and were inaccessible to residents. Bathrooms were clean and equipped with required grab bars in the showers and near toilets, as well as non-skid mats. Hot water temperatures were measured at 113.9°F in bathroom (1) and 110.2°F in bathroom (2), which are within the required regulatory range of 105°F to 120°F. Extra linens and towels were available in hallway cabinets. Smoke and carbon monoxide detectors were tested and found to be functional. A fire extinguisher was observed near the front entrance. No bodies of water were present on the premises. The backyard provided shaded seating for residents. Passageways and exits were observed to be clear and unobstructed. **continued on 809C** Food Service Refrigerators and freezers were maintained at proper temperatures (refrigerators at or below 40°F and freezers at 0°F) and contained a sufficient supply of at least two (2) days of perishable food and seven (7) days of non-perishable food. Fresh produce, proteins, and dry goods were adequately stocked. Knives were observed to be stored in a locked kitchen drawer. Health-Related Services & Records Four (4) residents files were reviewed and contained current required documents Admissions Agreements, Pre-Placement Appraisals, Consents, Needs/Service Plans, Physician’s Reports with TB/ambulatory status and Rights acknowledgments. Three (3) residents’ medications were reviewed; medications were observed to be centrally stored in hallway closet. Disaster Preparedness Last fire/earthquake drill was conducted in April 01, 2026, with logs available. LIC 610D Emergency Disaster Plan was available and updated. Emergency supplies (water, food, flashlights, batteries, first aid) were observed. Infection Control Plan was updated. Personnel Records & Training Three (3) staff files were reviewed and included criminal record clearances, CPR/First Aid, required training and TB screenings. Administrator Certificate for Alaina Hendricks was valid through July 18, 2026. Insurance Liability insurance was in compliance with an expiration date of June 15, 2026. An exit interview was conducted with the Administrator Alaina Hendricks. During the inspection, the facility was observed to be following Title 22, Division 6 regulations. No deficiencies were cited at this time. A copy of the report was provided.