Routine inspection·August 4, 2025

On August 4, 2025, at 3:15pm, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit. Upon arrival at the facility, LPA Bentley was greeted and granted entry by Caregiver (CG) Michelle Franco. Administrator (AD) Carmen Rodriguez later joined the inspection and was present during the inspection. LPA stated the purpose of the visit and requested Resident/Staff rosters and Personnel Record. The facility is licensed to operate for six (6) non-ambulatory residents, of which one (1) may be bedridden, and has a hospice waiver for three (3) residents. The facility is a single-story building located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, two living room areas, dining area, kitchen, an outdoor covered seating area, and an attached two car garage. LPA Bentley toured inside and outside of the physical plant with AD Rodriguez. There are no obstructions on the premises. 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. Bathrooms were found to be clean and operational. The water temperature measured 109.0 degrees F to 112.6 degrees F. CONTINUE TO LIC809-C.... LPA Bentley observed the facility to be sanitary and 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 available and maintained properly. During the visit, LPA Bentley observed all mandated inspection control posters were posted. A comfortable temperature of 78 degrees F was maintained in the facility. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714-965-0412) remains available, and the facility has a device that can be used for video teleconference purposes. Emergency food, emergency water, and emergency supplies were stored in the garage. The facility has one (1) fire extinguisher that was charged, mounted, and serviced on August 12, 2024. Liability Insurance is effective April 30, 2025, and expires on April 30, 2026. Emergency safety drills were last conducted on July 1, 2025, and conducted quarterly. First aid kit is maintained and contains all the necessary elements. Based on observations, interviews and record reviews, no deficiencies are being cited during this visit as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. LPA will address the following during the continuation annual visit: • Fire clearance for garage • Medication refrigerator in garage • Food storage • Medication and MAR An exit interview was conducted, and a copy of this report was provided to Administrator Carmen Rodriguez at the end of the visit.