Routine inspection·October 6, 2025

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by the two direct care providers present. House manager Sarah Levante was notified by telephone and arrived later to assist. There are currently two residents in care, none of which is receiving hospice care at this time. One resident is present in the common living area while the second one is away at day program. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with four private bedrooms (two of which are vacant) along with one staff room. There are two shared bathrooms used by residents, one of which is equipped with a walk-in bath tub. None of the residents are bedridden at this time. All occupied and vacant bedrooms appear clean and sanitary. One resident uses half-length rails for postural support, with physician orders reviewed to be on file. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary and are equipped with grab bars and slip mats. Hot water temperature measured at 109F and 110F in both bathrooms with sinks used for personal grooming. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning supplies and the medication central storage are verified to be secure. There is one wall-mounted fire extinguisher present, verified to be charged with up-to-date maintenance tag. Carbon monoxide and smoke detectors were found to be present and operational. Emergency food and water supplies are observed to be stored in the garage. Both were last inspected in July 2025. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA and facility staff toured the outside of the facility. LPA observed a shaded outdoor seating area with outdoor furniture for resident use. The identified routes of egress is free of clutter and obstructions. There are self-latching gates on both sides of the premises. There are no bodies of water present. The facility does not utilize locked perimeters or delayed egress. LPA reviewed two resident records which included all necessary components. LPA reviewed resident medication records and prescription orders with no discrepancies observed. LPA reviewed staff records for eleven staff members during the visit. Proof of current CPR training reviewed. Disaster drills are conducted monthly and documented. All staff members are verified to be background cleared and associated to the licensed location. The administrator certificate is current. Based on the observation conducted during the present visit, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report was provided to a facility representative.