Routine inspection·September 29, 2025

At approximately 10:45 AM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Administrator Rufus Zingkhai. Facility is a Residential Care Facility for the Elderly (RCFE) with eighteen (18) residents in care. Facility is approved for twenty-seven (27) non-ambulatory residents with one (1) bedridden. At approximately 10:55 AM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 8/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 105.1 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. LPA conducted a spot check of residents' bedrooms and observed them to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. Facility has an internet access device and internet available to residents in care, and the phone was tested and operational during today's inspection. Continued LIC809C... Facility conducts monthly disaster drills, and the most recent drill was conducted 9/25. LPA observed facility's emergency disaster plan which was last updated 1/25. LPA observed a supply of PPE, emergency supplies, two (2) first aid cabinets, and flashlights. Rufus Zingkhai Administrator Certificate 7033932740 expires 8/15/2027. All fees are current as of this time. Updated copies of the following documents were gathered during this visit : Liability Insurance LIC500 - Personnel Report LIC308 - Designation of Responsibility LIC610E - Emergency Disaster Plan Updated copies of the following documents shall be submitted to CCL within 30 days of this visit : Lease agreement The annual inspection will be completed by the Department at a later date. No deficiencies cited. Exit interview conducted with Administrator, whose signature on form confirms receipt.