Routine inspection·May 29, 2025

On 05/29/25 Licensing Program Analyst (LPA) Mario Leon conducted an unannounced annual required visit using the CARE Inspection Tool. LPA was met by staff one, Christina Atencio Administrator (S1) and LPA verified S1 Administrator Certificate # 7035385740 is valid through 11/13/26, and the purpose of the visit was explained. The facility is licensed to serve (6) elderly adults ages 60 and above, of which (1) may be bedridden in room number one (#1). Six residents (6) may be non-ambulatory and the facility has an approved hospice waiver for six (6) residents. The facility is a single-story home, located in a residential neighborhood, which includes five (5) bedrooms, three (3) full bathrooms for resident use and one (1) 1/2 (0.5) bathroom designated for staff use, office area in kitchen, living room, dining room with mini bar/mini library, small family room. Facility has a shaded front porch, equipped with a ramp to relocate non-ambulatory residents, a back yard with a shaded porch, also with ramp for residents to access the back yard, one (1) gated pool, and an attached 2 car garage. LPA and S1 toured the physical plant, inside & out. Pool was checked and LPA confirmed the water is securely locked and gated, within Title 22 regulations. LPA inspected a total of (5) bedrooms and (3) bathrooms. The beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the residents’ personal belongings was observed. The bathrooms were checked and there was no mold or mildew present, water temperature ranged up to 116.2°F and were within Title 22 regulations. Smoke and carbon monoxide detectors were in operable condition. The facility's indoor temperature was measured at a comfortable 76°F. Report continues, see LIC809-C. During today's visit, LPA observed that the facility was clean, sanitary, and appropriately furnished. Storage areas for personal hygiene were in place. Cleaning supplies, toxins, and sharp objects were stored inaccessible to residents in care. The kitchen was inspected, and there was sufficient perishable and non-perishable food available, all of which was adequately stored. All fire extinguishers were charged and operable, most recently purchased on 07/24/24. The last Fire/Earthquake Drill was conducted on 04/09/25. A review of six (6) residents' service files and three (3) staff personnel files were reviewed and in order. LPA reviewed two (2) Medication Administration Records (MARs) and found no discrepancies. Facility Liability insurance is active, set to expire on 08/25/25. LPA observed the facility's infection control practices. All mandated inspection control posters were displayed throughout the facility. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA did not observe any deficiencies during today's visit. There have been zero (0) deficiencies cited during today's visit. An exit interview was conducted with staff one, Christina Atencio Administrator (S1), and a copy of this report has been provided.