Routine inspection·August 21, 2025

License Program Analysts (LPA) Luis De Leon conducted an unannounced annual required visit. LPA met with Administrator Anthony Shinn. The purpose of today’s visit was explained. The facility is licensed to serve adults 60 years and over, of which two (2) may be bedridden. The licensee is approved for 2 hospice waivers. Residents are serviced by Frank D. Lanterman Regional Center. The LPA use the Compliance & Regulatory Enforcement Tool (CARE) during today’s inspection. The visit consisted as follows: FACILITY PHYSICAL PLANT The facility is in a residential area and is made up of four (4) resident bedrooms and one (2) staff bedroom, two (2) full bathrooms for resident use and one (1) staff bathroom, living room, dining room, laundry room, front and backyard, and a detached car garage. There were no body of water observed in the property. REVIEW OF FILES Resident record review consisted of Admission Agreements, Identification and Emergency Info, Physicians Report, Consent Report, Individual Program Plan, Personal Rights, and Centrally Store Medication. Staff record review consisted of Personnel Report, Health Screening, Criminal Record Statements, Fingerprint Clearance, Training, First Aid and CPR. Report continues on LIC 809C... Observations during facility tour: Bedrooms were furnished with a bedframe, dresser, lamps, and chairs. LPA observed that there was clean linen, bath towels, and personal hygiene with reasonable closet space available for residents. Wall and floors are in good repair. Hallways were clean and free of obstructions. Kitchen appliances were in working order and clean. There is sufficient two (2) days of perishables and seven (7) day supply of non-perishable food. Dining room has sufficient seating area. Weekly food menu is posted at facility. Toilets, showers, and water faucets are found in compliance with Title 22 regulations for temperature and function. Restrooms were stocked and clean. The water temperature was tested and measured. It was found in compliance with Title 22 regulations between 105º and 120º F degrees. Sharps are locked inside a kitchen drawer and inaccessible to residents. Also, disinfectants and cleaning supplies are locked and secured inaccessible to residents. Smoke detectors were observed in all bedrooms and carbon monoxide detectors was observed in living room around kitchen area. One (1) fire extinguisher was observed and was fully charged with the last inspection on 8/30/24. Last fire drill and disaster drill was conducted on 5/3/25. Earthquake drill was done on 5/3/25. Front and back yards are free of hazards. Back yard has a shaded seating area for residents to enjoy. The medications are centrally stored and locked in the staff room. The facility uses the Medication Administration Record (MAR) log to document medications given. LPA reviewed medications for all four (4) residents. LPA conducted interviews with one staff. Two resident interviews were conducted while other residents were out in the community. The facility provides various activities for residents to participate in day programs, community outings, watch TV, music, and going to the park. Per California Code of Regulations, Title 22, and California Health and Safety Code, no deficiencies were observed during the visit. Exit interview held and a copy of the report along was provided to the administrator.