Routine inspection·January 26, 2026

On January 26, 2026, Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Administrator Luis Gaitan after introducing self and stating the reason for the visit. House Manager (HM) Concepcion Jimenez and Administrator Lisa Gaitan were present during today's inspection. Admin Luis has a valid certificating expiring May 6, 2027. The inspection is as follows: This is a single story property located in a residential neighborhood comprised of five resident bedrooms, one private staff bedroom, and two (2) resident bathrooms. Facility is not operating within the conditions and limitations specified on the license. Facility has an approved hospice waiver for four (4) and is exceeding the number of hospice residents that can be served at one time. There are five (5) residents receiving care from a hospice agency during today's visit where the 5th resident was admitted on January 23, 2026. LPA along with Caregiver Omar Escalante toured the interior portion of the facility. The facility is clean, sanitary, and in good repair. LPA inspected all resident bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. The sliding doors are in good repair. All bathrooms were found be in compliance, clean, and operational. Slip resistant mats were available. The hot water temperature in the bathrooms measured at 119.4 and 117.4 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed two-day supply of perishables and seven-day supply of non-perishable food. In addition to the resident bedroom inspections, LPA inspected all common areas including the attached two car garage. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The exit gate is operational, and there were sufficient seating and shading in the patio area. There are no bodies of water on premise, and the fire place was screened. LPA observed the fire extinguisher was mounted, charged, and serviced on October 2, 2025. The indoor temperature remains at a comfortable range. The auditory devices and smoke/carbon monoxide detectors were tested and operational. Facility maintains emergency food, water, and supplies (such as portable radios, flashlights, and batteries) in the medication closet. The 'See Something, Say Something' Poster (PUB475) was posted in the required size. The first aid manual was available. LPA reviewed six of six resident and two personnel files in which no discrepancies were found. Medications were audited for two out of six residents. No discrepancies were found with medication administration. Staff training is up-to-date including CPR/First Aid. Present staff are background cleared and associated to the facility. Disaster drills of various emergency scenarios are conducted quarterly and documented as required. Based on the observations made during today's visit, a deficiency is being cited. An exit interview was conducted with Administrator Lisa Gaitan and House Manager Concepcion Jimenez, and a copy of this report including the appeal rights were provided at exit.