Routine inspection·February 5, 2025

Licensing Program Analysts (LPA) Sarah Hurt conducted an unannounced visit today for the facility’s annual inspection. LPA met with Mathew Magsambol, Continual Administrator's Certification for Rosario Magsambol expires for 06/20/2025. There are currently 6 residents who reside at this home and there is 0 residents on hospice at this time. LPA reviewed 4 facility resident files, and 3 facility staff files. LPA reviewed residents funds, and resident medications. LPA reviewed Centrally Stored Medication Log for 3 facility residents. Residents cash was not correctly logged (only February 2025 was accounted). The facility temperature is 62 degrees. Staff 1 does not have a Health Screening Report (LIC503) or required first aid training. Staff 2 does not have first aid training. The following deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing. Exit interview conducted with Administrator, Mathew Magsambol, and copy of report left at facility