Routine inspection·September 23, 2025

Licensing Program Analysts (LPAs) Rose Ruppert and Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPAs Ruppert and Tea were greeted and granted entry into the facility by Administrator (AD) Loida Manguray and explained the reason for the visit. The facility is licensed for six non-ambulatory residents, with a hospice waiver for three. Currently there are four residents, two are on hospice during today's visit. LPA reviewed two staff files and four resident records. Resident and staff files contained all required documentation. Administrator certificate expires on May 1, 2026. The last disaster drill was conducted on March 10, 2025. LPAs reminded the administrator that disaster drills need to be conducted quarterly, within 3 months. LPA Tea along with AD Manguray toured the facility. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of six resident bedrooms, one staff room, three full bathrooms, a living room, dining room, and kitchen. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. The water temperature measured 112.1 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards; doorways were free of obstructions. First aid kit had all the required elements including bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at the time of visit. LPA did observe expired non-perishable food in the pantry and advised AD Manguray to periodically check for expired ones and discard them. LPA observed sharps secured and locked underneath the kitchen sink. LPA (Annual inspection continued on LIC809C) also observed toxin substances stored and inaccessible to residents in the garage of the neighboring sister facility. The fire extinguisher in the kitchen was fully charged with an inspection date of April 8, 2025. Kitchen appliances are operational. LPA toured outside ground; they share the backyard with their sister facility. There is patio seating with umbrellas where residents can sit and relax. There are two exit gates on both sides of the facilities that are self-latching and operational. LPA observed emergency food and water supply in the shed in the backyard and staff room. Facility provides activities based on their personal choice and health condition. Residents participate in numerous activities like doing exercises and walking around the facility. They also participate in sing a longs and dancing to be active. At the time of the visit, LPA observed residents having breakfast. LPA Ruppert reviewed medication storage and administration. Medications are stored in a locked cabinet in the staff room. Medications are being administered per physician order. LPA Tea interviewed residents regarding their quality of care and spoke to staff present regarding care provided. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with Administrator Loida Manguray and a copy of this report LIC809, along with the 809-C, LIC858, LIC859, LIC9102 were read and provided to the facility