Routine inspection·January 21, 2026

01/21/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. There are currently two residents in care. Facility approved/cleared for four non-ambulatory and hospice waiver for two. LPA and Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. All rooms were furnished per regulation. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to residents in care were measured at 106.3 degrees F, within the range of 105 to 120 degrees F. Fire extinguishers were last inspected February 2025. Toxins are located in the hallway closet. Sharps are stored in a cabinet located in the kitchen. Medications were found to be centrally stored. LPA conducted spot medication count and found prescription medication to be missing expiration/start dates (Technical Violation). LPA conducted a review of two resident records. LPA observed resident R1 and R2 to not have needs and service plan and pre admission appraisal (Deficiency Cited). R2 did not have a personal rights form (Technical Violation). LPA conducted review of two staff records/training. Upon a review of staff records, LPA found staff (S1) to not have a health screening/tb test on file. Per conversation with administrator, they have the documents but were unable to find them during the inspection. LPA was unable to review S2's personnel file as the facility was unable to locate the file during the inspection (Deficiency Cited). continued on LIC809C Administrator certificate for Leslie Wilson is current from 05/08/2024 - 05/07/2026. The following documents were requested and are to be submitted to Community Care Licensing (CCL) by 02/21/2026: LIC500- Personnel Report Emergency Disaster Plan (review, update if needed) The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator and a copy of this report was provided.