Routine inspection·January 26, 2026

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by Administrators (ADs) Rosario Nazareno and Brian Nazareno and explained the reason for the visit. The facility is licensed for forty-eight ambulatory residents and fifty non-ambulatory with a hospice waiver for three. Currently there are eighty-five residents, and none are on hospice. LPA Tea reviewed six resident files and three staff files. Resident files and staff files contained all required documentation. Upon review of records, the facility is up to date with required quarterly emergency disaster drills, which were last conducted on December 13, 2025. AD Rosario administrator’s certificate has an expiration date of September 9, 2027. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a one-story building consisting of forty-eight resident bedrooms, two office rooms, twenty-six bathrooms, TV activities room, dining room, kitchen, and two outdoor covered patio areas. The fire alarm system of the facility is monitored and maintained by a third-party company. Fire extinguishers are fully charged throughout the facility. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and showers were free of mold/mildew. Water temperature measured between 105.4 and 111. 7 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards; doorways were free of obstructions. First aid kit had all the required elements including dressing, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked (Annual continuation on LIC809-C) and adequately stocked at time of visit. LPA observed sharps locked and inaccessible to residents in a locked kitchen cabinet in a container. LPA also observed toxin substances secured in a closet. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade in the courtyards. LPA observed PPE supplies, emergency food and water stored in a storage shed outside of the building. LPA tested pull cord and staff responded within a minute. Facility provides games, arts and crafts and various exercises to residents for activities. At the time of the visit, LPA observed residents lounging in the activities room and doing morning exercises, playing bingo in the dining room. LPA reviewed medication storage and administration. Medications are stored in locked carts in the med-clerk area. Medications are being administered per physician order. P&I funds were accounted for and there were no discrepancies. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with Administrator Rosario Nazareno and a copy of this report LIC809, along with the 809-C, LIC858, and LIC859 were read and provided to the facility.