Routine inspection·July 25, 2025

On 07/25/2025, the California Department of Social Services (CDSS) – Community Care Licensing Division (CCLD) staff conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with Administrator, Bessie Daniella Coronado-Vigil. CCLD staff explained the purpose of the visit and was accompanied by House Manager/Caregiver, Cynthia Campos inside and outside the facility during this inspection. This facility is licensed to serve 6 non-ambulatory adults ages 60 and above, of which 1 may be bedridden. This facility has an approved hospice waiver for 5 residents. Room 4 is approved for bedridden only. A total of 6 residents are currently residing in this facility. The Annual Licensing Fees are current. 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 laundry room with medication storage; 1 great room which includes the living room area, dining room area, and kitchen area; 2 utility/storage closets; 1 attached garage which has 1 full bathroom; 1 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 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 fire extinguisher in the kitchen area, and it was last serviced on 08/19/2024. There is a landline telephone. Living Room/Community Indoor Space: There are games/activity work (i.e. board games, books, and magazines) for residents in the living room area. There are couches and chairs for residents to sit at. 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: Non-skid mats were in place. Adequate lighting and toiletries accessible to residents. The hot water temperature measured 117.6 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. 5 out of 5 Medication Administration Records (MARs) were reviewed and they were current and up to date. Garage: is used as a storage room and as an office for the Administrator. Miscellaneous: Documents are posted as mandated. Last fire and disaster drill was conducted on 07/02/2025. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. 5 staff records were reviewed, 5 out of 5 staff records had required documentation. 5 resident records were reviewed and, 5 out of 5 resident records had required documentation. CCLD staff had a conversation with the Administrator, Bessie Daniella Coronado-Vigil about updating the facility sketch. The Administrator agreed to request for facility sketch to be updated. A technical advisor is being provided regarding documenting residents’ systolic blood pressure. 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, Bessie Daniella Coronado-Vigil.