Routine inspection·August 21, 2025

At approximately 11:00 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by Maria Juana Gutierrez, Licensee. Facility is a Residential Care Facility for the Elderly (RCFE) with six (6) residents in care, all of whom were present during today's inspection. Facility has a Dementia Care Plan, a Hospice waiver for three (3), and is approved for all non-ambulatory residents. At approximately 11:45 AM, LPA initiated a tour of the facility with Licensee and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. LPA observed egress devices activated on all facility doors. Water temperatures in residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, and hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed 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. Facility has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. Medications were centrally stored and locked. There is a shaded seating area in the backyard with outdoor space for activities. LPA observed residents resting or visiting with loved ones in their rooms or watching TV in the common area. Facility has a supply of games, puzzles, books, magazines, crafts, and instruments for residents in care. Facility has internet service and an internet access device designated for resident use. The telephone was tested and was operational during inspection. Continued on LIC809-C... Continued from LIC809C... Smoke and carbon monoxide detectors were tested and operational during inspection. Fire extinguishers were observed fully charged and were last inspected 03/2025. Emergency Disaster Plan was reviewed and updated 02/2022. Facility conducts quarterly disaster drills with the most recent drill conducted 07/2025. Facility has two generators for emergency preparedness. Facility is quipped with an emergency lighting system and multiple first aid kits. At approximately 12:45, LPA conducted file review of three (3) staff and three (3) resident files. Three (3) of three (3) staff files reviewed contained all the required documents, proof of training and proof of current First Aid and CPR certification. Three (3) of three (3) resident files reviewed contained all the required documentation. Licensee states they assist residents' families with coordinating medical and dental appointments as well as transportation to and from appointments when residents have the need. Medications and medication records were inspected and the logs were observed maintained in compliance with regulation. Facility does not maintain or manage P&I cash resources for residents. Updated copies of the following documents are to be submitted to CCL within 30 days of this visit : LIC610E - Emergency Disaster Plan (updated) Proof of Current Liability Insurance No deficiencies cited during today's inspection. Exit interview conducted with Licensee whose signature on form confirms receipt of documents.