Routine inspection·October 6, 2025

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual inspection visit. LPA was greeted by caregiver Lourdes Cruz and the purpose of the visit was explained. Administrator Linda Morales arrived shortly after to assist with the tour. The facility is licensed to serve six (6) residents age range 60 and over of which four (4) may be non-ambulatory and of which one (1) may be bedridden. The home is located in a residential neighborhood in Pasadena and consists of a living room, dining area, kitchen, five (5) resident bedrooms, one (1) full bathroom and two (2) half bathrooms, front yard and patio. The front yard is well maintained and there are no pools or large bodies of water. There is a covered patio providing a shaded seating area located in the patio with sufficient seating for residents in care. Passageways and exits are free of obstructions. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: The water temperature was tested in bathroom #1 and measured 105.8 degrees F, which is within the required 105 degrees F - 120 degrees F. Bathroom #2 water temperature measured 114.4 degrees F and bathroom #3 measured 106.8 degrees F. LPA observed grab bars and non-skid mats the bathrooms. Continued on LIC 809C continued from LIC 809 Resident bedrooms have the required furniture and have sufficient closet and storage space. Resident beds have the required linen and the linen is in good repair. Hallway cabinet contained PPE supplies, surplus clean linens. Combination smoke and carbon monoxide detector located throughout the home, were tested and are operable. LPA observed a fire extinguisher located in the kitchen last serviced March 31, 2025. Emergency drills conducted monthly, last drill was 09/11/25. Kitchen was observed to be clean and free of pests. Kitchen appliances are clean and were operating at the time of the visit. Sharps secured under the kitchen sink and are inaccessible to residents. Cleaning supplies and disinfectants are locked under the sink and are inaccessible to the residents. Sufficient supply of 2 days perishable and 7 days non-perishable foods were observed. Dining area observed clean with sufficient seating for residents in care. Centrally stored medication is located in a locked cabinet in the dining area. Medications are documented properly and given as prescribed. Six (6) resident and four (4) staff files were reviewed. R6 file did not contain physician’s report/medical assessment with TB clearance. Licensee was able to produce at time of visit. Technical violation noted. R6 receiving hospice care services, facility does not have a hospice waiver. Deficiency cited. Licensee provided with information to submit for change of administrator. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809D. Exit interview held and a copy of the report along with appeal rights were provided to the Administrator Linda Morales.