Routine inspection·April 28, 2026

Licensing Program Analyst (LPA) Gabriela Castro conducted an unannounced required annual visit using the Compliance and Regulatory Enforcement (CARE) Tool. LPA was greeted by Christian Hegitwiller and Judy Santos, Caregivers and explained the reason for the visit. Luis Santos, Administrator and Rowena Santos, Licensee arrived shortly thereafter. The facility is licensed to serve residents ages sixty (60) and older. The approved capacity is six (6) non-ambulatory residents. The facility has an approved hospice waiver for six (6). Facility Tour & Observations Personal Rights postings (LIC 613C and Ombudsman), Complaint Poster (PUB 475), and nondiscrimination notice were observed in a common area. Oxygen was observed in use in the facility. Required “Oxygen in Use / No Smoking” signs were posted throughout the facility in visible locations. Residents had access to personal space, privacy, and adequate storage. No firearms/weapons were present. Physical Plant The facility is located in a residential area and is a one-story home consisting of four (4) resident bedrooms, two (2) restrooms, living room/dining area, kitchen, laundry room/garage, front yard, and backyard. The facility also includes two caregiver corridors and an additional restroom for caregivers; one is located before entering the garage near the kitchen, and the other is inside the garage. LPA observed four (4) resident bedrooms, all of which contained the required furniture (bed, mattress, linens, dresser, chair, and lighting). Cleaning supplies and toxic substances were inaccessible to residents and secured under the kitchen sink and in a locked garage closet. Bathrooms were clean and equipped with required grab bars in showers and near toilets, as well as non-skid mats. Hot water measured 113.2°F in bathroom (1) and 116.2°F in bathroom (2), within the required range of 105–120°F. Extra linens and towels were available in a hallway cabinet. Smoke and carbon monoxide detectors were functional, and a fire extinguisher was available in the kitchen/dining area. The backyard provided shaded seating. Passageways and exits were clear and unobstructed. (continued on 809C) Food Service Refrigerators/freezers were maintained at proper temperatures (refrigerators maximum of 40 degrees °F and freezer 0-degree °C) with sufficient supply of 2-day perishable and 7 days non-perishable food. Fresh produce, proteins, and dry goods were stocked. Knives and were observed in a locked kitchen drawer. Health-Related Services & Records Three (3) resident files were reviewed and contained current required documents, including Admission Agreements, Pre-Placement Appraisals, consents, Needs/Service Plans, Physician’s Reports with TB/ambulatory status, and Rights acknowledgments. Three (3) residents’ medications were reviewed and were centrally stored in a hallway closet. During the medication review, it was observed that R2 had missed doses of a prescribed multivitamin for over one week. Disaster Preparedness Last fire/earthquake drill was conducted on March 10, 2026, with logs available. LIC 610D Emergency Disaster Plan was posted by entry bulletin board. Emergency supplies (water, food, flashlights, batteries, first aid) were observed in the garage. Infection Control Plan was updated. Personnel Records & Training Four (4) staff files were reviewed and included criminal record clearances, CPR/First Aid, required training and TB screenings. Administrator Certificate for Luis Gabriel Santos was valid through December 8, 2027. Insurance Liability insurance was in compliance with an expiration date of June 3, 2026. An exit interview was conducted with the Administrator Luis Gabriel Santos. During the inspection, deficiencies were observed and cited on the attached LIC 809D/809C in accordance with Title 22, Division 6 regulations. A copy of this report, LIC 809D/809C, and appeal rights will be provided.