Routine inspection·November 1, 2025

On 11/01/2025, 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, Francis Liwanag. The purpose of the visit was explained, and the LPA was allowed entry to the facility. This facility is licensed to serve 6 non-ambulatory adults ages 60 and above, of which 1 may be bedridden. The facility has a hospice waiver for 2 residents. A total of 6 residents are currently residing in this facility. Facility Layout: The facility is a one-story house located in a residential street. The home consists of 4 resident bedrooms; 2 full bathrooms; 1 great room with a kitchen area, office space, dining table, living room area; 1 attached garage; and1 backyard patio area with shaded seating. Outside Grounds: were toured no bodies of water were observed, walkways around the home were clear of hazards, and there are 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 fire extinguisher in the kitchen area. Great Room: There is a landline telephone in the office area. In the living room area there are activities in the living area such as bingo, cards, Jenga, etc. Resident Bedrooms: 4 out of 4 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. Medications: were inaccessible to residents in care. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. 6 out of 6 Medication Administration Records (MARs) were reviewed. 6 out 6 residents did not have documented nonprescription (PRN) medication with time the PRN medication was taken, the dosage taken, and the resident's response. Garage: Has a laundry area, storage area, and staff break area. Miscellaneous: Documents are posted as mandated. The last fire drill was conducted on 10/05/2025. The last quarterly emergency/disaster drill was conducted was on 07/02/2025 and it was on fire, power outage, and flood. The facilities liability insurance is current. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. 5 staff records were reviewed, 4 out of 5 staff records had required documentation. 2 out of 5 staff records did not have CPR certificate. 1 out of 5 staff records did not a health screening report. 6 resident records were reviewed, 6 out of 6 resident records had required documentation. Technical advisories are being provided regarding CPR certificates, Medications, Resident Appraisals, and Hospice. A technical violation is being provided regarding maintaining staff records complete and current. A deficiency is being cited based on observation and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. A violation regarding PRN medications. An exit interview was conducted, Plans of Corrections were reviewed and developed. A copy of this report and appeal rights were discussed and left with the Administrator, Francis Liwanag.