Routine inspection·November 21, 2025

On November 21 2025, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley introduced self and was granted entry into the facility by staff, after stating the purpose of the visit. Administrator (AD) Diana Ignatencu arrived at the facility and remained to assist during the visit. The facility is licensed to operate for six (6) non-ambulatory residents with a hospice waiver for three (3) residents. The facility is a two-story house with ten (10) bedrooms (8 bedrooms on the first floor, 6 are for residents, all are private), ten (10) bathrooms (8 bathrooms on the first floor, 7 are for residents), living room, dining room, kitchen, an attached three (3) car garage, and an outdoor covered seating area. During the visit, LPA toured inside and outside of the physical plant with staff and AD Ignatencu. There were no bodies of water or 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. Additional lines were adequately stocked at the time of visit. Bathrooms were found to be clean and operational. The water temperatures in bathrooms used by residents in care, measured between 105.6 degrees F and 111.7 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. LPA observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for 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. CONTINUE TO LIC809-C..... LPA toured the backyard with AD and observed an empty hot tub in the backyard. AD stated hot tub will be disposed of along with some additional items in the backyard. LPA observed a shaded seating area with a table and chairs for residents to sit outside, in a separate area of the backyard. The smoke detectors and carbon monoxide detectors were observed operable. Emergency safety drills were last conducted on August 15, 2025 and are conducted quarterly. First aid kit is maintained and contains all the necessary elements. A working telephone (714)964-2529 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 two (2) fire extinguishers that were charged, mounted, and serviced on August 14, 2025. Liability Insurance is effective May 29, 2025 and expires on May 29, 2026. LPA conducted an audit of six (6) resident files (R1-R4), five (5) staff files (S1-S5), and medication and medication administration review. Resident and staff interviews were conducted. No Deficiencies were cited during today's of the visit. An exit interview was conducted, and a copy of this report was provided to Administrator Diana Ignatencu at exit.