Routine inspection·October 18, 2025

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced annual visit today. LPA met with Emma Peteza, Caregiver and the reason for the visit was explained. Runette Catibog, Assistant Administrator, arrived thereafter and continued to facilitate the visit. The facility is licensed to serve adults age range 60 and over; approved for (6) non-ambulatory, of which (1) may be bed-ridden and approved Hospice waiver for (2). The facility is operating within the scope of its license. The facility is in a residential area of Cerritos. The single-story home consists of living room, dining area, kitchen, (3) shared resident bedrooms, (1) staff room, (2) full bathrooms, front and backyard/patio area and attached garage/laundry area. During today’s visit, LPA toured the home and observed the following: Facility was observed clean inside and out. Walkways, passages and exists are free of debris and obstructions. Living room and dining area have sufficient seating for residents and furniture is in good repair. Kitchen appliances were observed clean and operable. Facility has a sufficient 2-day perishable and 7-day non-perishable supply of food which is kept labeled and properly stored. Sharps/knives and cleaning supplies are kept locked in a kitchen cabinet under the sink and in are inaccessible to residents. Bedrooms were observed clean; however, Resident 1’s bed has a half bed rail which has not been ordered by physician. Both bathrooms were also observed clean and sanitary. Water temperature was tested in both bathrooms and measured at 118.3 and 118.7 degrees F, which is within compliance range. ***Continues on LIC 809-C The front and backyard are well maintained, and backyard has a shaded patio area and patio furniture is in good repair. Garage is kept clean and detergents and other toxins are kept locked. Laundry appliances are in good repair and were observed to be working properly. No pools or bodies of water observed. During visit, (6) resident and (4) staff files were reviewed. Resident files contain admission agreements, Physician Reports, medical/functional assessments, Appraisals/Needs and Services Plans, TB clearance, personal rights and consent forms. Staff files contain up to date First Aid/CPR certification, health screenings, criminal background clearances and training documentation. Resident medication was reviewed and found to be administered according to physicians’ orders and documented accordingly. Medication is centrally stored, locked and inaccessible to clients. Facility keeps PPE supplies in the garage. Emergency and Disaster Plan (LIC 610-D) was reviewed and is up to date. Facility conducts safety/fire drills quarterly. Last drill was conducted on 10/13/25 with staff and resident participation. Facility has a fire extinguisher in the dining room and was observed charged and operable. Fire extinguisher was last serviced on 6/24/25. Combination smoke and carbon monoxide detectors were tested and were working properly. During today’s visit, a deficiency is noted and citation issued, per California Code of Regulations, Title 22, and California Health and Safety Code. Exit interview was conducted with Runette Catibog, Assistant Administrator, and a copy of the report and Appeal Rights was provided.