Routine inspection·July 31, 2025

Licensing Program Analyst (LPA) Daniel Konishi conducted the required annual inspection. LPA arrived unannounced and was greeted by the caregiver, Arney Manseguiao and the purpose for today’s visit was explained. Shortly after the House Manager, Rudy Ignacio arrived and LPA explained the purpose of the visit. This home is licensed to serve the age range 60 and over. Six (6) non-ambulatory only. Hospice waiver for two (2). LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit, today’s visit and the initial visit and observed the following: Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting residents’ medications. Staff are cleaning and disinfecting throughout the day. The facility has sufficient PPE supplies and has an Infection Control Plan maintained at the facility. Physical Plant & Environment Safety: LPA toured a one-story residential home that include a living room, dining area, kitchen, five (5) bedrooms, two (2) bathrooms, an attached garage with laundry, front yard and back yard. The five (5) residents’ bedrooms were checked by the LPA and closet/drawer space to accommodate each resident comfortably was available. The LPA observed all (5) resident bedrooms, containing required furniture, lamps, dresser, chair, and closet space. The two bathrooms contain a working toilet, basin and water faucet, walk in shower with grab bar, shower chair, and bathmat. The front yard is free of debris/hazards and the outdoor and passageways are free of obstruction. No bodies of water were observed at the facility. Hygiene products are readily available for clients. The hot water temperature was tested and measured 110.5 degrees and 110.6 degrees, which is within the required range of 105-120 degrees F. Physical Plant & Environment Safety [Cont.]: The cleaning solutions and toxins are locked in the garage. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fireplace in the living room is secure and inaccessible to residents. There was (1) fire extinguisher located in kitchen fully charged. The last fire/disaster/earthquake drill was conducted on 5/25/2025. The backyard has a shaded seating area accessible for residents’ use. Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted: Residents Rights, Complaint Poster, and Ombudsman. Planned Activities: Facility provides scheduled activities and have a variety of activities to choose from within the facility. There is an outdoor activity area available for the residents. Food Service: LPA toured the kitchen which appeared clean and the appliances and fixtures functional. The facility kitchen was observed to be clean at the time of inspection. There are sufficient food supplies of 2-day perishable and 7-day non-perishable items. The food is properly stored in the refrigerator. There are no clients with modified diets residing at this facility. Plates, cups and utensils are kept clean and stored properly. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least two (2) relocation sites. The last fire/disaster drill was conducted on 05/25/2025. Due to time constraints, LPA will return at a later date to complete the annual visit and six (6) CARE Tool domains. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies observed during the visit. An exit interview was conducted and a copy of the report was provided to the House Manager, Rudy Ignacio.