Routine inspection·September 20, 2025

Licensing Program Analyst (LPA), Mayra Cota, conducted an unannounced required annual inspection visit and met with Agripina Maleon, Caregiver. LPA Cota explained the reason for the visit and Maleon facilitated today’s inspection. Barbara Mitchell, House Manager, was informed of the visit telephonically and arrived thereafter. The facility is licensed to care for adults in the age range (60) and over, (6) non-ambulatory with a hospice waiver for (6). The facility is operating within the scope of its license. There are currently (4) residents in care at the facility. The facility is a single-story home located in a residential neighborhood of Glendora. The home consists of a living room, TV room, (4) resident bedrooms, (1) staff room (2) full bathrooms, kitchen, pantry, dining room, dining area for caregivers, front and backyard, side patio and pool, and detached garage with a laundry area. During the visit, LPA toured the facility's indoor and outdoor environment, reviewed (4) resident and (3) staff records and conducted medication review. During today’s visit, LPA observed the following: The facility was observed clean, inside and out. All walkways, passages, and exits are clear and free of debris and obstructions. Livingroom and dining area have sufficient seating, and furniture is in good repair. Kitchen was observed to be clean. Kitchen appliances are also clean and were operating at the time of visit. Cleaning supplies and toxins were observed locked in a cabinet under the kitchen sink and are inaccessible to residents. Knives/sharps were also properly locked in a kitchen drawer. A sufficient supply of (2) day perishable and (7) day non-perishable food was observed. Food in the refrigerator and pantry is labeled and kept within expiration limits. Fresh fruit was observed throughout the kitchen counters and menus are posted. ***Continues on LIC 809-C Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen and mattress pads. One (1) resident bedroom has a call button which was tested and observed to be working properly. Doors to the front entrance, backyard and to the pool patio have safety chime which were tested and working properly. Two (2) full bathrooms were inspected and were observed clean. The water temperature was tested in both bathrooms and measured within the required 105 - 120 degrees F. The laundry area in the garage is clean and the appliances were operable and in good repair. Detergents are kept locked in a cabinet. Garage was also observed to be locked and inaccessible to residents. Interconnected smoke detectors were observed throughout the facility and were tested and were working properly. One (1) carbon monoxide detector was observed and was also tested and working properly. There is (1) fire extinguisher located in the kitchen which was observed to be charged and last serviced on 4/16/25. Drills are conducted monthly. Last fire/safety drill was conducted on 9/4/25. First Aid kit was reviewed and observed to be properly stocked and to have all the required tools. The front and backyard are well maintained and the pool is inaccessible to residents in care. Patio is in good repair. Three (3) staff files were reviewed; however, (1) caregiver was found to be on the premises without proper criminal background clearance. LPA interviews with (2) staff indicate that the uncleared individual is providing care at this facility for residents since 9/15/25. Three resident files were reviewed; however, physician’s report for resident #3 is incomplete. Report is missing elements and it is not signed by a physician. Also, resident #4 is missing a current physician’s report. Resident medication is centrally stored and kept locked in a cabinet. Resident medication was reviewed and was observed to be administered according to physician’s orders and documented appropriately. Deficiencies are being cited, and a civil penalty is being assessed today under Title 22 Regulations during today's visit. Exit interview was conducted with Barbara Boiston, House Manager, and a copy of the reports, LIC 421BG and Appeal Rights were provided.