Routine inspection·October 10, 2025

Licensing Program Analyst (LPA) Gabriela Castro and Licensing Program Manager (LPM) David Sicairos conducted an unannounced required annual visit using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Jesusa Enriquez and explained the reason for the visit. Administrator Euphrosyne Dimaano arrived shortly thereafter. This home is licensed to serve 6 residents ages range 60 and over, six (6) non-ambulatory of which one (1) may be bedridden. Approved hospice waiver for six (2). Facility Tour & Observations: Personal Rights postings (LIC 613C and Ombudsman) were observed in a common area. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons were present. Residents appeared comfortable. Physical Plant The facility is located in a residential area and is a one-story home consisting of four (4) resident bedrooms, two (2) bathrooms, living room, kitchen, dining area, attached garage, front yard, and backyard. Each resident bedroom contained the required furniture (bed, mattress, linens, dresser, chair, and lighting). Cleaning supplies and toxic substances are inaccessible to residents in a locked storage in garage as well as within other locked cupboards in kitchen. Bathrooms were clean and equipped with required grab bars in showers and near toilets, as well as non-skid mats; hot water measured in bathroom (1) 114.8F and bathroom (2) 108.9F which is within the required 105F-120F . Extra linens and towels were available in the hallway closet. Smoke/carbon monoxide detectors were functional, fire extinguisher was available, and no bodies of water were present. Backyard provided shaded seating. Passageways and exits were observed to be clear and unobstructed . Food Service: Refrigerators/freezers were maintained at proper temperatures (refrigerators maximum of 40 degrees F and freezer 0 degree F) with sufficient supply of 2-day perishable and 7 days non-perishable food. Fresh produce, proteins, and dry goods were stocked. Knives and cleaning supplies were observed in a locked kitchen drawer. (Continued on LIC809C) Health-Related Services & Records: Five (5) residents files were reviewed and contained current required documents (Admissions Agreements, Pre-Placement Appraisals, Consents, Needs/Service Plans, Physician’s Reports with TB/ambulatory status, Rights acknowledgments. Five (5) residents medications were reviewed; medications were observed to be centrally stored in a locked living room closet. MAR logs were current. Disaster Preparedness: Last fire/earthquake drill was conducted in October 1, 2025 with logs available. LIC 610D Emergency Disaster Plan was posted in kitchen bulletin board. Emergency supplies (water, food, flashlights, batteries, first aid) were observed. Infection Control Plan was updated. Personnel Records & Training: Five (5) staff files were reviewed and included criminal record clearances, CPR/First Aid,required training and TB screenings. Administrator Certificate for Euphrosyne Dimaano was valid through February 12, 2026. Insurance: Liability insurance was in compliance with an expiration date of December 11, 2025. An exit interview was conducted with the Administrator Euphrosyne Dimaano. During the inspection, the facility was observed to be following Title 22, Division 6 regulations. No deficiencies were cited at this time. A copy of the report was provided.