Routine inspection·February 19, 2026

On February 19, 2026, at 8:30 AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim was greeted and granted entry by Administrator (ADMIN) Elizabeth Mullins. LPA Kim explained the purpose of the visit to ADMIN Mullins. The facility is licensed to operate for six (6) nonambulatory residents, of which 1 may be bedridden, and has a hospice waiver for six (6) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: one (1) staff bedroom, five (5) resident bedrooms, three (3) bathrooms, living area, dining area, kitchen, outdoor covered patio, and an attached two car garage. LPA Kim toured inside and outside of the physical plant with ADMIN Mullins. There were no bodies of water or obstructions in the facility. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, Resident Room 4, and Resident Room 5. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured between 115.3 degrees F to 119.1 degrees F. A comfortable temperature of 72 degrees F was maintained in the facility. Evaluation Report Continues on LIC 809-C LPA Kim observed the facility to be appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food both were available and maintained properly. Emergency food, emergency water, and emergency supplies are stored in the garage. During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE) in the shed in the backyard. All mandated inspection control posters were posted. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714-970-0247) and video teleconferencing mobile telephone dedicated to the residents both remain available. Last emergency drill was conducted on December 27, 2025, and are conducted quarterly. First aid kit is maintained and contains all the necessary elements. The facility has two (2) fire extinguisher that are charged and mounted in the resident hallway, and were last inspected on January 26, 2026. Certificate of Liability of Insurance is effective from April 9, 2025 to April 9, 2026. LPA Kim conducted an audit of resident files (R1-R2), staff files (S1-S2), and medication and medication administration record were in all in order and complete. LPA Kim conducted two (2) staff interviews. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to Administrator Elizabeth Mullins.