Routine inspection·July 25, 2025

Licensing Program Analyst (LPA) Vaid conducted the annual inspection using the Compliance and Regulatory Enforcement tools. LPA met with caregiver Rebecca Huilar, Administrator Rita Herrera was not available due to sickness, and explained the reason for the visit. The facility has a capacity of six (6) residents. It is licensed to serve elderly residents aged 60 and above, approved for six (6) non-ambulatory, of which one (1) may be bedridden. Facility approved for two (2) hospice waivers. The facility cares for elderly residents with dementia. Currently, facility has three residents with dementia. The facility is in a residential neighborhood, a single-story home and consisted of six (6) resident’s bedrooms, four (4) bathrooms, living room, staff room, kitchen, dining room, outdoor laundry, back house for live in staff. LPA conducted a tour of the facility, reviewed records, and interviewed 1 staff. The following were observed: Currently the facility has three residents. Three (3) out of six (6) occupied bedrooms have the required furniture such as bedframes, dressers, lamps, and chairs. Beds have the required linen, and the linen is in good condition. There are three (3) bathrooms for residents’ use. Bathroom #1-#3 have the required grab bars in the shower and near the toilet and nonskid mat. The hot water temperature was 107.3-109.4 and 106.3 degrees respectively, which is within the required 105 - 120 degrees. Continued on 809C.............. The facility temperature at the time the visit was comfortable 79.1 deg F. There are smoke detectors located throughout the facility. There is a carbon monoxide detector in the hallway. 1 fire extinguisher in the kitchen, last inspected 4/24/25. The kitchen appliances are properly working. There was a sufficient supply of 2 days perishable food, and 7 days non-perishable foods were observed. The front and backyard are well maintained. There is no pool or other large bodies of water. The facility has the required auditory devices on exit doors for dementia residents. The auditory devices were observed to be working at the time of the visit. There are no cameras in the facility. Four (4) staff files and have the required documents. One (1) staff was interviewed. Three (3) residents files were reviewed and one (1) out of three (3) were missing required documents. Three (3) out of three (3) residents’ medications were reviewed. Medications are centrally stored and locked MAR log is used. Fire drill is missing. Infection control plan is missing. Deficiencies have been noted on LIC 809D under Title 22 Regulations. Exit interview was conducted and a copy of this report, LIC 809D and appeal rights were provided.