Routine inspection·March 9, 2026

At approximately 8:15AM, Licensing Program Analyst (LPA) Chris Arnhold made an unannounced annual required inspection of this licensed senior care facility. LPA met with House Manager Will Praiphetsak. At approximately 8:45AM, LPA toured the building and grounds which was found to be clean and orderly. LPA observed the back deck ramp has a potential trip hazard at the base, where the boards are raised and the concrete is crumbling. The emergency exit gate was observed to be tied closed with string, preventing it from being opened. This is a repeat violation within a 12 month period. An immediate civil penalty is being issued in the amount of $1000. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked storage closet. Water temperature measured within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged. Smoke detectors in the living room, hallway and one residents room had their batteries disconnected. This is an immediate Safety risk to residents in care. An immediate civil penalty is being issued in the amount of $500. Staff replaced batteries during visit and alarms were functional. Carbon Monoxide detectors were present. There was enough lighting in all common areas, resident rooms, and hallways. Most medication is centrally stored and secure, however, a bottle of vitamins was stored in the dining room cupboard, which is easily accessible. LPA observed cleaning solutions stored, unsecured, under each of the two resident bathroom sinks. At approximately 9:00AM, LPA reviewed 7 of 7 resident records and found 3 of 7 residents have not had a physician visit within the last 12 months. LPA observed 2 of 7 residents did not have current appraisals during this visit. LPA spoke with Licensee about physician reports and the requirements of when they need to be updated during the Post Licensing visit on 07/07/2025. LPA provided copies of regulation pertaining to resident records and incidental medical topics during that visit and issued a technical violation at the time. LPA reviewed medication records and observed there were no centrally stored medication lists for any resident. Medication was prepared for the day in small containers. Continued on LIC 809-C... LPA observed one pill container from the AM medication pass still contained pills. After breakfast, R1 went back to sleep and did not take morning medication. Staff did not notify residents physician, and were going to give the medication when they woke. LPA provided instruction on medication time frames and reporting. At approximately 11:15AM, LPA was not able to review staff records as they were not present at the facility. This is a repeat violation in a 12 month period. An immediate civil penalty is being issued in the amount of $250. Evidence of current first aid and CPR training were current. LPA interviewed 2 staff during this inspection. At approximately 12:00PM, LPA reviewed facility disaster plan. Staff did not appear to have a good understanding of disaster procedures and what to do in an emergency. House manager was able demonstrate where gas and water shutoffs were and how to operate. LPA reviewed the emergency drill log and found the last drill was conducted 07/24/2025. This is a repeat violation within in a 12 month period. An immediate civil penalty is being issued in the amount of $250. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Evidence of control of Property, (Current Rental/Lease Agreement/Deed) LIC308- Designation of Facility Responsibility LIC500- Personnel Report LIC610E- Disaster Plan Updated Facility Sketch showing Ambulatory status of each room Evidence of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Will Praiphetsak and Appeal rights were given.