Routine inspection·May 6, 2026

Licensing Program Analyst (LPA) Nancy Guillen made an unannounced visit for the purpose of conducting a required annual Inspection. LPA was greeted and granted entry by care provider after explaining the purpose of the visit. Administrator (AD) Cotila Dahabreh was notified via telephone and later arrived to assist with the inspection. LPA observed the Administrator certificate was current and expires January 27, 2027. This is a Residential Care Facility for the Elderly (RCFE) licensed to six non-ambulatory residents with a hospice waiver for three. The facility is a one-story home with six resident bedrooms, one staff bedroom, four bathrooms, and an attached garage. During the inspection, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, garage and observed the following: LPA observed residents washing dishes and watching television in the living room and respective bedrooms. LPA observed three residents in care and two staff present. LPA observed the See Something Say Something Poster (PUB 475) was not posted at the facility, the framed poster was brought from storage and placed back on the wall during visit. All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets with additional linens stored in the hallway storage closet. LPA observed bathrooms were clean and equipped with grab bars and non skid floor mats. LPA observed all windows were appropriately screened. Bathrooms were observed to be free of debris and mildew. Faucets and toilets were operational. Water temperature tested between 125.7 and 130.6 degrees Fahrenheit. LPA toured the outside of the facility and observed spray paint, paint, sealer and pruning shears in unlocked back patio storage; items were removed and placed in garage during visit. LPA observed the backyard had a shaded sitting area with furniture for resident use. Continued on LIC 809C LPA observed the facility had a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with a purchase date of February 07, 2026 and located by the kitchen. Medication cabinet was observed to be locked and centrally stored in living room closet however, LPA observed medication Tussin DM Max, Ferrous Sulf, Milk of Magnesia, Ferrous Sulfate Elixir, Dayquil, and Mucinex in kitchen pantry accessible to residents in care. LPA observed the First Aid Kit had all the required components. LPA observed the facility conducted their last emergency disaster drill on March 23, 2026. LPA reviewed two resident records. All the required documentation were present and current in the residents’ files reviewed. LPA reviewed two employee records. All employee’s present have a criminal record clearance and were associated to the facility. LPA observed records reviewed have a current First Aid certificate. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report, LIC 809C, LIC 858, LIC 859, LIC 809D, LIC 9102 and appeal rights and Legionnaire’s Disease fact sheet was left at the facility.