Routine inspection (multi-day)·January 8, 2026

At approximately 10:30 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual continuation inspection and met with Rolando Macaraig, Administrator. Facility is a Residential Care Facility for the Elderly (RCFE) with fourteen (14) residents in care, all of whom were present during today's inspection. Facility has a Dementia Care Plan and a Hospice waiver for three (3). At approximately 11:00 AM, LPA initiated a tour of the community with Administrator and observed the following: Facility is a one story building, was a comfortable temperature, and passageways were free from obstructions. Water temperature in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of paper products available to residents. Administrator agrees to ensure all closets containing cleaning supplies and other items that could pose a risk remain inaccessible to residents in care at all times. The community has at least two days of perishable food and one week of non-perishable foods. Medications were centrally stored and administrator agrees to ensure they are secured and inaccessible to residents at all times. There are covered seating areas and outdoor space for activities. LPA observed residents watching TV, resting in their rooms, and one playing cards on their computer. Facility has internet service and an internet access device available for resident use. Facility's telephone was observed operational during inspection. The community's fire extinguishers were observed charged and were last serviced 12/2025. Sprinklers and Smoke and Carbon Monoxide detectors were last inspected by a third party vendor 08/2022, which passed in all categories. Administrator agrees to ensure facility conducts emergency/disaster drills no less than quarterly in order to operate in compliance with regulation. continued on LIC809C... Continued from LIC809... LPA observed facility's infection control plan and emergency disaster plan which was last updated 01/2023. LPA observed a supply of PPE, emergency supplies, flashlights and a first aid kits throughout the community. Facility has multiple portable backup generators and an external defibrillator for emergency preparedness. At approximately 1:00 PM, LPA reviewed five (5) resident records and five (5) staff records. Three (3) of five (5) residents' records were missing a current appraisal needs and services plan (see LIC809D), and two (2) of five (5) residents' records were missing a current physician's report as required for those residents per regulation, (see LIC809D). One (1) of five (5) staff records reviewed were missing proof of the required intial 40 hours of training, and four (4) of five (5) were missing proof of the required 20 hours of annual training. One (1) of five (5) staff files reviewed was missing a job application, and one (1) of five (5) was also missing a physician's health screening and proof of CPR/FA certification, (see LIC809D). Medication records were reviewed and were observed managed and stored in compliance with regulation. Facility works with residents and their families to coordinate medical and dental visits as well as transportation to and from appointments. Facility does not manage P&I cash resources but has a bond. Updated copies of the followin g documents are to be submitted to CCL within 30 days of this visit : -LIC500 - Personnel Report (updated) -LIC610D - Emergency Disaster Plan (updated) -A copy of facility's current liability insurance -Emergency Disaster Drill Conducted (current) 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, or repeat violations within a 12 month period, may result in a civil penalty assessment. Exit interview conducted with Administrator whose signature on form confirms receipt of documents. Appeal rights provided.