Routine inspection·January 12, 2026

At approximately 10:45 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and met with Claribel Kemper, Designated Responsible Party (DRP). Facility is a Residential Care Facility for the Elderly (RCFE) with six (6) residents in care. Facility is approved for six (6) non-ambulatory residents and has a Hospice waiver for two (2). At approximately 11:15 AM, LPA initiated a tour of the facility with DRP and observed the following: Facility is a one story building, was a comfortable temperature, and passageways were free from obstructions. Water temperatures in residents' bathrooms tested within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of hygiene products, clean linens, paper products, and incontinent care briefs available for residents. Residents' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Facility has at least two days of perishable food and DRP agrees to increase the facility's non-perishable food supply to meet the seven day requirement. Facility has an emergency water supply. Medications were centrally stored. However, LPA observed two residents' medications stored in the door of the facility refrigerator and accessible to residents in care, (see LIC809D). There is a covered seating area in the back yard with outdoor space for activities. Facility has internet available to residents in care and the phone was tested an operational. Facility agrees to purchase an internet access device and have it available to residents in care. Facility's fire extinguishers were observed charged and were last serviced 07/2025. Facility Smoke and Carbon Monoxide detectors were tested and operational during today's inspection. Continued on LIC809-C... Continued from LIC809... Facility conducts bi-annual disaster drills with the most recent drill conducted 10/2025. LPA informed DRP that drills shall be conducted no less than quarterly per regulation. DRP conveyed understanding and agreed to comply moving forward. LPA observed facility's infection control plan and emergency disaster plan which was last updated 07/2023. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights for emergency preparedness. Facility has a portable generator. DRP provided LPA with a copy of the facility's current liability insurance. At approximately 1:00 PM, LPA reviewed three (3) staff files and three (3) resident files. Three (3) of three (3) staff files reviewed were missing proof of the required initial training hours and some of the annual training hours, and one (1) of three (3) staff files was missing a pre-employment health physical, (see LIC809D). All of the reviewed staff files had the remaining required paperwork. Three (3) of three (3) resident files reviewed were missing a consent for emergency medical treatment and one (1) was missing an appraisal needs and services plan, (see LIC809D). All resident files reviewed were observed to have all the remaining required paperwork. DRP and residents' families coordinate medical and dental visits for the residents and transportation to and from their appointments. Facility contracts with a third party vendor to provide transportation services as needed.. At approximately 4:30 PM, LPA reviewed medication records which are maintained in compliance with regulation. Facility does not manage P&I for residents. 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 DRP whose signature on form confirms receipt of documents. Appeal rights provided.