Routine inspection·October 18, 2025

Licensing Program Analyst (LPA) Christian Gutierrez conducted an unannounced annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA was met by Caregiver Claude Anino at approximately 12:00 PM and explained reason for visit. Administrator Thomas Trice arrived later. Facility is licensed to serve six (6) residents over 60 years old, five (5) can be non-ambulatory one (1) bedridden in room #4. Hospice waiver approved for five (5). The facility is in a residential area, and it is a one-story family home. A tour of the single-story facility included the living room, kitchen, dining room, four (4) resident bedrooms, one (1) staff room, 2 bathrooms, front yard, backyard, and attached garage. LPA toured the facility and observed the following: Each resident’s bedroom has the required furniture and bedding. There is extra clean linen and towels in hallway cabinet. Smoke / carbon monoxide detectors were observed in each room and throughout the facility and are properly operating. The facility has one (1) fully charged fire extinguishers which is kept in kitchen. LPA observed cleaning supplies, toxic substances, and knives accessible unlocked in cupboards in kitchen. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. Bathrooms had required grab bars and nonskid mats. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents located in the backyard. Passageways and exits are free of obstruction. Garage has an extra refrigerator and supplies. SEE LIC 809C Four (4) staff files were reviewed and included Criminal clearance record, CPR/training, and health screening with TB. Five (5) resident files were reviewed and included physicians report, TB clearance, and appraisal needs and service plan. Last fire/earthquake drill was conducted in September of 2025. Infectious control plan was reviewed. Two (2) residents and one (1) staff were interviewed. Resident medications were reviewed, and no discrepancies were found. Medications are centrally stored. Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC 809D. Exit interview was held and a copy of the report along with appeal rights were provided.