Routine inspection·January 16, 2026

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Administrator Ana Giron and explained the purpose for today’s visit. The facility is licensed to serve 150 Ambulatory Elderly Residents ages 60 and above, of which 70 may be Non-Ambulatory. Facility holds a hospice waiver for up to 5 Residents. (there are currently 1 resident utilizing hospice services) The Facility is a 2 story building located in Downey, CA. A tour of the facility included: 1st floor : Multiple resident rooms with private full bath, Kitchen, Dining Area, Laundry Room, Storage Closets (for cleaning/janitorial supplies), TV Room, Medication Room, Staff Restroom, Staff Office, Lobby, Reception Area, Staff Break Room, and Outdoor Patio. 2nd floor: Multiple resident rooms with private full bath, Doctor Room, Staff Restroom, and Library. There is one elevator that LPA observed to be in working condition. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today: Infection Control: Facility has sufficient PPE supplies and maintain the required Infection Control Plan. Operational Requirements: The facility has an approved fire clearance, there is a plan of operation with Hospice Plan and training. Facility maintains the required liability insurance with expiration date of 4/1/26. Physical Plant & Environment Safety: LPA toured facility, a total of 8 residents’ bedrooms/units were checked and had the required closet/drawer space to accommodate each resident comfortably available. The resident rooms have signal systems located in each bathroom and in bedroom that were tested and operating properly. There are smoke detectors, carbon monoxide detectors and an emergency sprinkler system throughout the facility that are operable and in compliance. The fire extinguishers were observed throughout the facility and are fully charged. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available. The hot water temperature was tested throughout the facility resident private bathrooms and measured within the required range of 105-120 degrees. There is a large shaded patio area on the first floor for residents. (Continued on LIC809-C) Staffing & Personnel Records-Training : There appears to be sufficient staffing at all times in the facility. Staff have criminal record clearance, current First-Aid/CPR/AED training along with training in postural supports, Alzheimer’s and Dementia, medication assistance, Hospice Services and other ongoing training are documented in personnel files. LPA reviewed 5 staff files with no issues observed. Administrator Ana Giron Administrator Certificate is valid and expires on 10/20/26 (verified through CCL website) Resident Records-Incident Reports: Resident files are kept in a secure location and have the following documents in their files - Pre-admission appraisal/Appraisal Needs & Services Plan, Admission Agreements, Identification & Emergency Information and current Physician's Report. LPA reviewed 9 Resident Files with no issues observed. Residents Rights-Information: Residents are provided with telephone at the facility. LPA observed the following posters posted on the first floor: Residents Rights, Complaint Poster, and Ombudsman. Planned Activities: Facility provides scheduled activities with a monthly calendar and the required full-time staff that conduct and evaluate planned activities. There is sufficient space both indoor and outdoor for activities. Food Service: The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. Incidental Medical & Dental: Medication is properly labeled, centrally stored and are in their original containers. Staff that assist with medication administration have the needed training in their files. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. The last drill was conducted on 12/5/25 (technical violation was issued as these were not being done quarterly as required). Residents with Special Health Needs: Facility accepts residents on Hospice Care and staff files reviewed today all have required training documented. Residents that use Oxygen had the required sign on their room doors that read "No Smoking - Oxygen in Use". Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of this report was provided.