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 Jason Desamero at approximately 8:30 AM and explained reason for visit. Administrator Toby Miclat arrived shortly. This facility is a Residential Care for Elderly (RCFE) to serve residents for age 60 and above. The facility is approved for two (2) ambulatory and four (4) non-ambulatory, of which one (1) may be bedridden. The facility may retain two (2) hospice residents. During the time of visit facility has three (3) residents on hospice care. Facility has a Dementia Care program. The facility is part of a single-story home located in a residential area and contains the following: (2) living rooms, dining room, kitchen with refrigerator, oven, stove, dishwasher, sink/faucet, (5) resident rooms, (1) staff room, (2) bathrooms for residents; bathrooms with shower, toilet and washbasin. A front yard with shaded area and seating for resident use. A connected laundry room inaccessible to residents for storage, medication, staff restroom, office/resting space for staff. 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 laundry room. 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 front yard. Passageways and exits are free of obstruction. Two (2) out of three (3) staff files reviewed and included Criminal clearance record, and health screening with TB, and CPR/First Aid certificates. S1 did not have TB. Two (2) out of five (5) resident files were reviewed and included physicians report, TB clearance, and appraisal needs and service plans. R3 is missing TB, R4 updated 602, and R5 updated 602. Last fire/earthquake drill was conducted in May of 2025. Infectious control plan was reviewed. Two (2) staff were interviewed. Resident medications were reviewed, and no discrepancies found. Medications are centrally stored. 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.