Routine inspection·October 10, 2025

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced required visit to the facility for the purpose of conducting the required annual inspection. LPA Rodriguez explained reason for visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted facility administrators (ADs) Olivia Kovac & Khojesta Azizi about visit. Per record review, current staff are background cleared and associated to the facility. The PUB475 "See Something, Say Something" poster was observed to be located at the entrance of the facility. LPA observed the Administrator's Certificates for Olivia Kovac which expires on 2/19/2026, & Khojesta Azizi which expires on 7/17/2026. LPA toured the interior and exterior portions of the facility with ADs. The facility is a two level structure and is licensed for 6 residents, of which 6 may be non-ambulatory, 0 may be bedridden and 4 may be on hospice. For this visit, there are a total of 3 residents in care, of which 0 are on hospice and 0 are bedridden. On the first floor, are a total of 6 private resident bedrooms. LPA toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. On the first floor, there are a total of 5 restrooms, of which were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature was measured to be at 114.9 degrees Fahrenheit. LPA observed a kitchen on the first floor, and observed that smoke and carbon monoxide detector and auditory exit alarms were tested and operational. On the second floor, there are a total of 3 bedrooms, 2 bathroom designated for staff use only. LPA observed no residents or resident belongings residing on the second level. LPA also observed that there is a kitchen on the second floor that is used a staff break room. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. Fire extinguishers were dated and tagged for the date of 2028. LPA observed the emergency disaster and evacuation plan, which is posted at the entrance. Facility had back-up emergency food and water supply, located in the garage.. LPA observed that First Aid Kit had all the required components. Medications and toxins were also observed to be locked and inaccessible to residents in care. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards. There are 2 gates in the backyard, which were self-closing and self-latching. No bodies of water were observed. During the visit, ADs inquired about the process of a change in ownership of the facility, to which LPA provided education on how to proceed - to which both ADs provided understanding. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. An exit interview was conducted with ADs. A copy of this report was explained and provided at the end of visit.