Routine inspection·January 13, 2026

On today's date LPA William Vanegas conducted an unannounced visit for the purposes of completing an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Care Giver (CG) Estela De Venecia. LPA William Vanegas explained the purpose of the visit and began a tour of the facility and observed the following. LPA Vanegas observed the facility to be a one storied building with five bedrooms all five bedrooms are used for residents in care. The facility has two bathrooms that are used for residents in care, and has one shared bathroom for resident and guests. The facility has an attached two car garage, and a large backyard. LPA Vanegas observed the kitchen area to be clean and sanitary. LPA Vanegas observed a gas stove, refrigerator, dishwasher, and microwave in the kitchen area and all tested operational. LPA Vanegas observed a two day supply of perishable food and a seven day supply of non-perishable food and a sufficient amount of water on hand and available to residents in care and staff in case of an emergency. LPA Vanegas observed resident bedrooms to be clean and sanitary. Bedrooms were observed to have all required furnishings such as a chest drawer, bed, clean linens in good repair; meaning no strains or tears, a closet for storage of personal items, as well as a reading lamp. LPA Vanegas observed rooms to be large enough to walk about freely, and no obstructions blocking the doors or entry ways. LPA Vanegas observed all required posters displayed along the entry way and hallways including PUB475 sign and residents rights posted. LPA Vanegas observed all resident restrooms to be clean and free of any mildew and debris. LPA Vanegas observed water faucets, and toilets to be operable and bathroom shower had grab bars, and slip resistant floors. Water temperature tested between 106.7 and 108.8 degrees. CONTINUED ON LIC809C LPA Vanegas observed all smoke and carbon monoxide detectors to be in good repair and tested operational. LPA Vanegas observed fire extinguishers to be fully charged and up to date. LPA Vanegas observed the facility to have an updated infection control plan, disaster preparedness plan, and a devise that is available for resident use for tele health visits and to conduct video calls with family if needed. LPA Vanegas toured the outside of the facility and observed an outdoor shaded sitting area, the backyard appeared to be in clean and sanitary condition. LPA Vanegas observed side doors to be self latching and unlocked. LPA Vanegas observed garage to be clean and in good repair as well. LPA Vanegas reviewed three staff files, and three resident files. All files (Staff and Resident) had all required documents and all were up to date. Staff training has been completed and documented. LPA Vanegas observed first aid kit to have all required items such as scissors, tweezers, bandages, a thermometer, and a first aid manual. LPA Vanegas reviewed P&I with AD and observed all balances to be accurate, and up to date. LPA Vanegas reviewed medications and medication administration record (MAR) with AD and observed all medications to be documented in the MAR and being administered per physicians orders. Based on observations made during today's inspection, no deficiencies will be issued, per tittle 22 of the California Code of Regulations. An exit interview was conducted with AD Davina Alipio and a copy of this report was provided to the facility.