Routine inspection·February 2, 2026

Licensing Program Analyst (LPA) Tao conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Administrator Kaylon Hallman and the reason for the visit was explained. Facility annual fees are current. Liability insurance coverage is current which covers from 09/17/25 to 09/17/26. This facility is licensed to serve four (4) non-ambulatory residents in the age range of 60 and over. Today’s inspection consisted of applying CARE tool, conducting physical plant, reviewing staff/resident records, checking residents’ food supply/medication, and interviewing staff/resident. Infection Control: Facility maintains an infection control plan was on site for review. Staff were observed practicing safe hand washing. Hand sanitizing was observed throughout. Hygiene supply and sanitizing materials were observed in each bathroom and changing station. Physical Plant & Environmental Safety: The facility is single family home located at a residential area. It consists of two (2) resident bedrooms, one (1) bathroom, living room, dining area, kitchen, front yard, backyard, and detached garage with office. Physical plant was conducted and observed the facility is in good repair indoor and outdoor. Facility is operating within capacity. No swimming pool nor bodily of water was observed. (Continued on LIC 809C) Cleaning supplies and sharp materials were observed locked and inaccessible to clients. Outdoor space is furnished, shaded, and accessible to residents. Passageways and exit areas were observed free of obstructions. Restrooms were observed clean. Water temperature was tested within 117 - 117.7 degrees F, which is within the required 105-120 degrees F per Title 22 requirement. Staff/ Residents Records review: Administrator certificate is current, and the expiration date is 01/15/27. Staff and resident’s records were reviewed and they are in compliance. Food Service: The kitchen was clean. The required two (2) days of perishable and seven (7) days of nonperishable were observed and stored separately from toxic/cleaning supply. Health-Related Services: Medications were reviewed. Medications are centralized stored and inaccessible to the residents. First aid kit was reviewed. Disaster Preparedness: Emergency Disaster Plan LIC610E was observed. Last emergency drill was conducted on 11/06/25. Exit: No deficiencies were noted during this visit per California Code of Regulations, Title 22, Division 6. Exit interview was conducted with Administrator Kaylon and LIC 809s were provided.