Routine inspection·December 15, 2025

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced annual visit today. LPA met with Monica Aguilera, Administrator, and the reason for the visit was explained. The home is licensed to serve (6) non-ambulatory residents age range 60 and over; approved Hospice Waiver for (6). The home is operating within the scope of its license. There are currently (6) residents living in the facility. The home is in a residential area of Pasadena. The single-story home consists of living room, dining area, kitchen, laundry area, (6) client bedrooms, (4) full bathrooms, detached garage, front and backyard. During today’s visit, LPA observed the following: Furniture in the home is in good repair and there is enough seating area in the living room and dining area for residents in care. The kitchen was inspected; however, the kitchen cabinet doors were observed with grease mildew and kitchen drawers had crumbs and other food particles. The stove and small kitchen appliances are operational; however, the refrigerator was observed to be at a non-compliance temperature of 52 degrees F. and refrigerator door was not closing tightly. The home has sufficient (7) day non-perishable and (2) day perishable supply of food, but (3) ketchup bottles kept in food cabinet exceeded the “best when used” date and (1) cottage cheese container’s expiration date was 12/2/25 (in the refrigerator). Sharps/knives are kept locked in a kitchen cabinet and are inaccessible to residents in care. The bedrooms have the required furnishing and bedding. Linnen is clean and in good repair. The bathrooms are also kept clean and sanitary. Closets are spacious and kept clean. ***Continues on LIC 809-C*** The water was tested in the (4) bathrooms and (1) out of (4) measured between 105-120 degrees F., and (3) bathrooms had the warning signage for water delivering above 120 degrees F. Laundry appliances are operable; however, floors in laundry area were observed cluttered with bedding, towels and clothing. Detergents are kept locked in laundry area cabinet. The facility has two fire extinguishers which are kept charged. Both fire extinguishers were inspected on 2/14/25. The home is equipped with smoke and carbon monoxide detectors which were tested and observed to be working properly. The garage is clean and kept locked; however, side passageway of the garage was observed obstructed by debris like broken furniture, discarded mobility equipment and paper waste. Extra cleaning supplies are kept locked in the garage. A shaded area in the backyard is available and seating for residents was observed. No pools or bodies of water were observed. LPA reviewed (6) resident and (4) staff files. Staff files contain the mandated documents; however, the Administrator Certificate was observed to have expired on 9/20/2025 and a check on the CCL Administrator Application look up, did not indicate proof of current certificate or pending application. Resident files contained the required documents, Hospice Care plans, and bed rail physician orders. Safety drill records were also reviewed. The home conducts drills every month. The last drill was conducted on 12/1/25 with staff participation. The Emergency Disaster Plan is up to date. Medication is centrally stored and locked in medication cabinet in the kitchen. Medication review was conducted and found to be dispensed according to physician’s orders and documented accordingly. During today’s visit, deficiencies were noted, and citations issued per Title 22 Regulations. Exit interview was conducted with Monica Aguilera, Administrator, and a copy of this report, LIC 809-Ds, Appeal Rights, was provided.