Routine inspection·September 26, 2025

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual inspection visit. LPA was greeted by caregiver and the reason for the visit was explained. Licensee Rowena Santos arrived shortly after to assist with facility tour. The facility is licensed to serve six (6) adults age range 60 and over. Approved for six (6) non-ambulatory of which two (2) may be bedridden in room #3 only. Approved hospice waiver for six (6). The facility is a single-story home located in a residential area of La Verne. The home consists of a living room, dining area, kitchen, four (4) resident bedrooms, two (2) bathrooms, laundry room, attached garage, front and backyard. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: The front and backyard are well maintained and there are no pools or large bodies of water. There is a covered patio providing a shaded seating area located in the backyard with sufficient seating for residents in care. Passageways and exits are free of obstructions. continued on LIC 809C continued from LIC 809 The water temperature was tested in bathroom #1 in the hallway and measured 113.3 degrees F, which is within the required 105 degrees F - 120 degrees F. Bathroom #2 water temperature measured 113 degrees F. LPA observed grab bars and non-skid mats in both the bathrooms. Resident bedrooms have the required furniture and have sufficient closet and storage space. Resident beds have the required linen and the linen is in good repair. Hallway cabinet contained PPE supplies, surplus hygiene supplies and surplus clean linens. Combination smoke and carbon monoxide detector located in the hallway of the home. There are two (2) fire extinguishers located in the dining area and in the hallway. Emergency drills conducted quarterly, last drill was 06/28/25. Kitchen was observed to be clean and free of pests. Kitchen appliances are clean and were operating at the time of the visit. Sharps are locked in a kitchen drawer and are inaccessible to residents. Cleaning supplies and disinfectants are locked under the sink and are inaccessible to the residents. Sufficient supply of 2 days perishable and 7 days non-perishable foods were observed. Dining area observed clean with sufficient seating for residents in care. Centrally stored medication is located in a locked hallway closet. Medications are documented properly and given as prescribed. Attached garage has laundry area. Washing machine and dryer wear clean and operable at the time of visit. There is a cabinet with laundry supplies, inaccessible to clients. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies were cited during today’s visit. Exit interview held and a copy of this report was provided to Luis Santos due to Licensee Rowena Santos having to leave for an appointment.