Routine inspection·July 10, 2025

Licensing Program Analysts (LPA) Sanjay Vaid and Elena Mallet conducted the annual inspection. LPAs arrived unannounced and met with Staff, Naylet Velazquez and Administrator, Rosalie Sandoval, assisted with physical tour. The purpose for the visit was explained. The facility is licensed to serve non-ambulatory residents ages 60 and over. There is a hospice waiver approved for 5 residents. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Operational Requirements: The facility does not accept or retain residents with dementia. There are currently 34 residents residing at the facility. The facility has the sufficient amount of liability insurance covering injury to residents. Physical Plant & Environment Safety: The facility has 30 resident rooms and shared bathrooms. There are no swimming pool or bodies of water at the premises. LPAs selected 3 random rooms to inspect #6A,28A, 32B. The bedrooms have the required furniture and sufficient lighting. The hot water temperature was measured in each of the bedroom's sink and shared shower rooms. They were all within the required range of 105-120 degrees F. The smoke detector is interconnected and there is an operable carbon monoxide detector, inspection is serviced by fire service company. The facility does not have a kitchen on site. Foods are cooked at the sister facility next door and is brought over during mealtime. Fire extinguishers inspected 06/19/25. Residents with Special Health Needs: The facility has some residents who use oxygen. The residents who receive insulin injections can administer themselves. Continued on 809C.............. Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting residents. Staff are continuing to clean/disinfect every 2 hours as documented. Facility has sufficient PPE supplies and has an Infection Control Plan. They are continuing to follow the strictest guidance for any infectious outbreaks. Staffing: There is sufficient staffing at the facility. The administrator's (Rosalie Sandoval) certificate expires on 1/24/26. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility. Personnel Records-Training: Staff files are maintained at the facility. Staff have current CPR or first aid training and sufficient on-going training that meets the annual requirement. Resident Records-Incident Reports : Resident files are maintained at the facility and have the following documents in their files - Admission Agreements, Identification & Emergency Information, Physician's Report, Pre-admission appraisal, and Resident rights. Resident Rights-Information: The Complaint poster, Local Ombudsman, and Residents personal rights are posted. Planned Activities: Facility has sufficient space to accommodate indoor and outdoor activities. There are sufficient supplies and equipment to meet resident's physical capability. Food Service: LPA observed sufficient food supplies of 2-day perishable and a week of non-perishable items at the sister location next door. The facility stores the emergency food supplies on site. Incidental Medical & Dental: The medications are centrally stored and in their original containers. The facility uses the Medication Administration Record (MAR) log to document medications given. During the visit today, LPA reviewed 4 residents' medication, and they are being administered as prescribed by the physician. Disaster Preparedness: The facility has the updated Emergency Disaster Plan posted with contact numbers and at least 2 relocation sites. Last fire inspections were conducted on 4/24/25. Last fire drill was conducted on 4/25/25, earthquake drill was conducted on 05/24/25. Medication room was observed inaccessible to the residents. Medication was reviewed for 4 residents. LPA reviewed 4 resident/staff files and interviewed 3 residents and 4 staff. Liability Insurance policy expires 05/08/2026. No deficiencies were issued today. An exit interview was held and a copy of this report was given to the administrator.