Routine inspection·November 24, 2025

On 11/24/2025, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD), Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Administrator, Zuo Fen Hauf. The purpose of the visit was explained, and the LPA was allowed entry to the facility. This facility is licensed to serve 14 adults ages 60 and above, of which 6 maybe non-ambulatory, and 6 maybe on hospice. A total of 10 residents were currently residing in this facility. The Annual Licensing Fees are current. Facility Layout: The facility is a one-story house located on a main street. The home consists of 7 resident bedrooms, 1 staff bedroom, 3 full bathrooms, 1 toilet room, 1 main entrance/living room, 1 kitchen, 1 dining/living room, 1 laundry room, 1 attached garage, 1 backyard area with shaded seating. Outside Grounds: were toured no bodies of water were observed, walkways around the home were clear of hazards, and there were no security bars or weapons on the premises. Kitchen Area/Facility Food: The facility has supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Knives and toxins were kept inaccessible to residents in care. There is a fire extinguisher near the kitchen area, and it was last serviced on 07/23/2025. Living Room/Community Indoor Space: There is a landline telephone in the main entrance room / living room. There are games/activity work (i.e. board games, books, magazines, and puzzles) in both living rooms. Resident Bedrooms: 7 out of 7 resident bedrooms were toured. There is adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Bathrooms: Toilets, showers, and water faucets worked properly, grab bars were secure, and a non-skid mat was in place. Adequate lighting and toiletries were accessible to residents. The hot water temperature measured 112.8 Fahrenheit. Medications: were inaccessible to residents in care. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. 9 out of 10 Medication Administration Records (MARs) were reviewed, 1 out of 9 MARs did not document prescription or nonprescription PRN medication as required by the California Code of Regulations. Garage: is used as a storage room. The garage has extra food supplies. Miscellaneous: Documents are posted as mandated. Last disaster/fire drill was conducted on 11/15/2025. The fire alarm panel was replaced on 11/17/2025. The facility has a monthly service of central station monitoring for fire alarm system. The facility has a current liability insurance. First aid kit is fully stocked with manual. There were no activity posting. 5 staff records were reviewed, 3 out of 5 staff records had required documentation, 2 out of 5 staff records had expired first aid certificates. 5 resident records were reviewed, 5 out of 5 resident records had required documentation. Technical violations are being provided regarding staff having current first aid certificates, posting activity schedule, and documentation of PRN medication. No deficiencies are being cited based on observation and record review in accordance with the California Code of Regulations, Title 22. An exit interview was conducted, and a copy of this report was left with the Administrator, Zuo Fen Hauf .