Follow-up·December 29, 2025

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced case management visit. LPA was greeted by staff and the reason for the visit was explained. Administrator Ralph Estanislao was advised telephonically but was not able to attend. The purpose of the visit was to follow up on items addressed during the Noncompliance Conference (NCC) meeting held on October 1, 2025. The facility is licensed to serve age range 60 and over, six (6) non-ambulatory of which one (1) may be bedridden. Hospice waiver for two (2). The facility is operating within the scope of their license with four (4) non-ambulatory residents, one (1) of which is bedridden and one (1) resident on hospice. The facility is a single-story home located in a residential area of Glendora. The home consists of a kitchen, living room, dining area, three (3) bathrooms, six (6) resident bedrooms, front and backyards. LPA toured facility interior and exterior and were observed to be clean and free of debris and obstructions. Room temperature was kept comfortable. Water temperature was tested in resident bathrooms and measured at 106.5°F in (2) bathrooms, which is within the required 105°F- 120°F. The third bathroom tested at 100.5°F, which is not within the required 105°F- 120°F. Technical violation issued continued on LIC 809C continued from LIC 809 Residents bedrooms were observed to have required furniture. Three residents had bedrails. LPA observed physician's orders for bedrails in place. LPA reviewed four (4) resident files and were observed to contain the required documents. LPA reviewed MAR log. Medications are documented properly and given as prescribed. LPA reviewed three (3) staff files. Files contained required documents, training, and all staff are cleared and associated to the facility. LPA reviewed log for emergency drills. No current emergency drills have been logged, last drill logged 12/2023. Deficiency cited. 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 Caregiver MarkJohn Salonga.