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 administrator Alfonso Avendano. There are currently four residents in care, one of which is receiving hospice care at this time. Residents are observed relaxing in the facility's common areas or in their respective bedrooms. LPA accompanied by facility staff toured the physical plant. The facility is a two-story house with four private bedrooms and one shared bedroom (two of which are vacant). There are two shared bathrooms used by residents. None of the residents are bedridden at this time. The facility's second floor is for use by the licensee's family and staff exclusively. No residents or signs of resident occupancy observed upstairs. All occupied and vacant bedrooms appear clean and sanitary. Two residents use 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 108F at a sink 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 are two wall-mounted fire extinguishers present, both verified to be charged with up-to-date maintenance tags. 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. CONTINUED ON FORM LIC809-C CONTINUED FROM FORM LIC809 LPA and facility staff toured the outside of the facility. LPA observed multiple 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 four resident records which included all necessary components. LPA reviewed resident medication records and prescription orders with no discrepancies observed. Consultation provided on the updated requirements for an annual visit with a primary care provider. LPA reviewed staff records for three staff members during the visit. Proof of current CPR training reviewed. Disaster drills are conducted quarterly. Most recent drill is documented. All staff members are verified to be background cleared and associated to the licensed location. The administrator certificate is current. Renewal material submitted and reviewed. 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.