Routine inspection·April 17, 2026

At approximately 8:50AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a 1 Year Required Visit and met with Staff Member, Sheila Manansala . Administrator, Rufus Zingkhai, arrived during visit at approximately 9:05AM. Facility is a Residential Care Facility for the Elderly (RCFE) and serves residents with Dementia and has a plan of operation for dementia care and programming on file. Facility is a two story building and has an approved fire clearance for 44 non-ambulatory residents and an approved hospice waiver for 3 individuals. Upon arrival, LPA was informed that there were currently 39 residents in care and 6 staff members on-site. LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. LPA conducted a walk-though of the facility with Administrator. LPA observed the following: The facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility has an Infection Control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for Residents. Mattress pads were in place or available for Resident use. Toxins were observed to be stored inaccessible to Residents. Hot water temperatures for a sample size of 6 sinks were within Title 22 regulations of 105 to 120 degrees Fahrenheit. Facility had emergency evacuation chairs at their stairwells. Facility fire extinguishers were last inspected February 2026. Smoke and carbon monoxide detectors are hardwired and were last inspected by the Fire Department February 2026. Facility's last emergency/disaster drill was conducted April 2026. Facility's emergency disaster plan was last reviewed and updated on 02/06/2026. During walkthrough, LPA observed the following: 2 resident rooms did not have a night stand or chair as required, facility did not have tight fitting lids on resident garbage cans, and facility did not have an adequate supply of emergency water accessible in the event they needed to shelter in place for 72 hours. Continued on LIC809C Continued from LIC809 LPA reviewed staff files, resident files and resident medication. All files were all found to be well organized and thorough. Staff files had current First Aid and CPR certification. Resident files had updated assessments and appraisals. LPA discussed with Administrator on ensuring that resident appraisals address behavioral expressions if they have been identified in resident medical assessments. LPA observed that 1 of 5 residents was missing proof of a negative TB test. Medication was observed to be centrally stored and secure. Administrator's Certificate for Rufus Zingkhai (7033932740) was current with an expiration of 08/15/2027. LPA discussed the following with Administrator: Reporting Requirements PIN regarding 911 protocols PIN regarding dementia regulations Review of facility's medication management program by a consultant pharmacist or nurse LPA requested the following documents to update facility file: Designation of Facility Responsibility (LIC 308) Emergency Disaster Plan (LIC 610E) Personnel Report (LIC 500) Liability Insurance Active and Current Administrator Certificate Documents to be submitted to Community Care Licensing (CCL) by due date of 05/17/2025. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiencies, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC809D (Deficiency Page), LIC9102 (Technical Violations/Advisories), Plan of Corrections, and Appeal Rights discussed and provided to Administrator. Signature on form confirms receipt of documents.