Routine inspection·September 20, 2025

Licensing Program Analyst (LPA) Blanca Gonzalez conducted an unannounced required annual inspection visit. LPA was greeted by Caregiver Cherry Dipon and the purpose of the visit was explained. Administrator Laurie Gallegos was contacted by phone. The facility is licensed to serve six (6) non-ambulatory adults age range 60 and over. Bedrooms #2 and #4 approved for two (2) non-ambulatory each. Bedrooms #1 and #3 approved for one (1) non-ambulatory each. Garage not approved as a living area. The facility is a single-story home in a residential neighborhood of San Dimas. The home consists of living room, dining area, kitchen, family room, four (4) resident bedrooms, two (2) bathrooms, front and back yards. 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 shaded area located in the backyard with sufficient seating for residents in care. Passageways and exits are free of obstruction. The water temperature was tested in bathroom #1 in the hallway and measured 111.2 degrees F and bathroom #2 water temperature measured 111.3 degrees F, which is within the required 105 degrees F - 120 degrees F. LPA observed grab bars and non-skid mats in both the bathrooms. continued on LIC 809C Resident bedrooms have all require furniture which includes, for each resident, a bed, a chair, night stand, a lamp, or lights sufficient for reading. Bed linens were clean and in good repair. There is closet space for clothing and other belongings. Hall closet contained extra clean linens. Interconnected smoke detectors were observed throughout the facility and are operable. There is a carbon monoxide detector located at the entrance of the home and another by the back bedroom. There are two (2) fire extinguishers located in the hallway and near the kitchen. Emergency drills are conducted quarterly, the last was conducted 07/04/25. 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. Fireplace located in the living room is inaccessible with a covered screen. Dining room, family room and living room are clean and free of obstructions and have sufficient seating for residents in care. Medications are centrally stored in a cabinet in the dining room. Medications are documented properly and given as prescribed. First Aid kit was fully stocked with current manual. Three (3) resident and three (3) staff files were reviewed and were observed to contain required documentation. R#3 physician’s report indicates bedridden, facility does not have fire clearance for bedridden. Per California Code of Regulations, Title 22, an immediate $500 Civil Penalty was assessed for Fire Clearance. Per California Code of Regulations, Title 22, and California Health and Safety Code, deficiencies were cited during today’s visit. Exit interview conducted and a copy of this report, LIC809D, LIC421IM, and Appeal Rights were provided to Orlando Dipon, caregiver.