Routine inspection·March 24, 2026

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Carina Demman and discussed the purpose of the visit. The facility currently has five residents in care of which all were seen napping and watching tv. The facility is a one story home with three resident bedrooms, one staff bedroom, two bathrooms, living room, kitchen, laundry room, and attached 2 car garage. LPA observed the resident bedrooms to have all the required components and furnishings. LPA observed bedrails in room #3. LPA observed the staff bedroom to be unlocked and clean with no accessible medications to residents in care. LPA observed the bathrooms to be stocked with toilet paper, paper towels and non slip mats in the shower. The water was tested between 107.7 and 109.4 degrees Fahrenheit. LPA observed a clean supply of extra linens in the hall cabinet located by the staff bedroom. LPA observed the centrally stored medication to be in a locked cabinet located between the resident rooms and the living room and made inaccessible to residents in care. LPA observed a first aid kit that was missing tweezers. LPA observed the kitchen to be clean and free of vermin. A two day perishable and seven day non perishable food supply was observed to be on hand. The sharps were in a locked drawer by the kitchen sink and made inaccessible to residents in care. The toxins were under the locked kitchen and bathroom sink as well as above the washer and dryer and made inaccessible to residents. LPA observed all appliances to be operational. LPA observed fire extinguishers in the facility charged and with a purchase date of March 25, 2025. LPA advised AD to have their fire extinguishers serviced or newly purchased by the expiration date listed. LPA observed the backyard to be free of debris and obstructions with a shaded seating area. The garage is used for extra facility storage. Staff tested the carbon monoxide and smoke detectors and they were found to be operational. Continue on LIC809C LPA reviewed staff files and no discrepancies were observed. LPA reviewed resident files and Resident #4 (R4) in room #3 does not have bed rail orders on file. LPA did not review updated needs and services plans for 3 of 5 residents in care. LPA reviewed resident medications and observed 2 of 5 residents have over the counter medications without physicians orders. LPA observed that the last fire drill was conducted on March 16, 2026. All staff present are background cleared and associated to the facility. Based on today’s inspection deficiencies, civil penalty and technical violations are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report, LIC809D, 858, technical violations, civil penalty for repeat violation and appeal rights were left at the facility.