Routine inspection (multi-day)·October 9, 2025

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Care Assistant, Sister Cecelia Cuesta and Sister Magdelene Grace, Administrator and LPA explained the purpose of the visit. The facility is licensed to care for 28 non-ambulatory, of which eight (8) may be bedridden. Approved hospice waiver for 12. The initial annual visit was conducted on 09/25/2025. During the initial visit the following seven (7) Compliance and Regulatory Enforcement (CARE) tool domains were observed and reviewed: Infection Control, Operational Requirements, Physical Plant/Environmental Safety, Resident Rights-Information, Planned Activities, Food Services, and Disaster Preparedness. During today’s annual visit, the following five (5) Compliance and Regulatory Enforcement (CARE) tool domains were observed and reviewed: Staffing, Personnel Records-Training, Resident Records-Personnel Reports, Incidental Medical & Dental, and Residents with Special Health Needs. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Staffing: A total of (43) staff members provide care and supervision to the residents, including the Administrator. LPA reviewed five (5) staff files. Staff employed are over the age of 18 and have criminal background clearance, fingerprint cleared, have training and are associated to the facility. Personnel Records-Training: LPA reviewed five (5) staff files which includes personnel record, criminal background clearance, health screening, TB clearance, Staff Training, Medication Administration Training, Employee Rights, and valid 1st Aid/CPR/AED training. Administrator on file is current; certificate is valid and will expire on 10/23/2026, Incident Medical and Dental: Residents are assisted with self-administration of prescription and non-prescription medications. LPA reviewed five (5) centrally stored resident medication records. Centrally stored medications are kept in a safe and locked place not accessible to residents in care. Medications are given according to Physician directions. The first Aid kit had all the required items. Medical and dental transportation is provided. Resident Records/Incident Reports: LPA reviewed five (5) resident files containing Face Sheet, Admission Agreements, Physician's Report, Ambulatory Status, TB clearance, Pre-Placement Appraisal, Appraisal/Needs and Services Plan, and Personal Rights. Residents with Special Health Needs: Per Administrator, (0) resident is under hospice care, (1) bedridden resident, (0) resident receiving home health services and (2) residents using oxygen have "No smoking in use" signs posted. Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview and a copy of this report were provided to Administrator, Sister Magdelene Grace.