Routine inspection·May 23, 2025

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met Caregiver Reinalyn Martin at approximately 12:22 PM and explained reason for visit. Administrator Silvia Castro was notified by telephone. This facility is a Residential Care for Elderly (RCFE) to serve residents for age 60 and above. The facility is approved for 1 bedridden and 6 non-ambulatory. The facility may retain two (2) hospice residents. LPA Gutierrez observed two (2) bedridden residents at time of visit. Immediate civil penalty was assessed. Facility has a Dementia Care program. The Facility is a single-story building in a residential area with four (4) resident bedrooms, three (3) shared bathrooms, kitchen, dining room, living room, den/tv room, front yard, backyard and attached car garage. All resident bedrooms were toured. Each bedroom has a bed, linen, dresser, and lighting. Smoke detectors/carbon monoxide detectors were observed in each room and throughout facility. The facility has one (1) fire extinguisher that is fully charged in kitchen. Cleaning supplies and toxic substances are inaccessible locked in garage. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. There are no firearms or weapons stored at the facility The resident bathrooms have the required grabs bars and non-skid mats. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The common areas include the living room and dining area are clean and have the required furniture. The facility does not have a swimming pool or large body of water. There is a shaded seating area for the residents in back yard. Passageways and exits are free of obstruction. Three (3) staff files were reviewed and included Criminal clearance record, and health screening with TB, and CPR/First Aid certificates. Three (3) out of six (6) resident files were reviewed and included physicians report, TB clearance, and appraisal needs and service plans. R1 did not have admission agreement, consent forms ,appraisal needs and service, and identification and emergency form. R4 was missing TB test. R5 missing completed physicians form and order for bedrails. Last fire/earthquake drill was conducted in March of 2025. Infectious control plan was reviewed. (1) resident was interviewed. Resident medications were reviewed, and no discrepancies found. Medications are centrally stored and locked MAR log is used. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809Ds. Exit interview held and a copy of the report along with appeal rights were provided.