Routine inspection·September 22, 2025

On September 22, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, the facility administrator (AD) Stella Ladaban was also present during the visit. For this visit, there are two staff members on duty, AD and caregiver, both of which are background cleared and associated. AD assisted with the inspection. The PUB475 ‘See Something, Say Something’ poster was observed to be located by the front entrance. LPA observed the Administrator's Certificate for Stella Ladaban, which has been submitted for renewal and has an expiration date of July 14, 2027. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, five of which may be non-ambulatory, one of which may be bedridden, and three of which may be on hospice. LPA toured the interior and exterior portions of the facility with the AD. For this visit, there is just one bedridden resident in care, who is also on hospice. The facility is a single-story home. There are a total of five bedrooms, three of which are private resident rooms, and two serve as staff quarters. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. LPA observed the staff quarters to be kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of two bathrooms and one powder room, one of which is for residents and one is for staff. Continued on LIC 809-C Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the restrooms were measured to be 109.4 degrees Fahrenheit. There is a detached garage which is kept organized and used for storage. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked in the kitchen and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen and the garage. Fire extinguishers were dated and tagged on January 27, 2025. LPA observed the emergency disaster and evacuation plan, which is posted in the dining room. Facility had back-up emergency food and water supply, located in the pantry next to the kitchen and in the garage. LPA observed that the First Aid kit had all the required components. Medications were observed to be locked in a storage in the hallway, inaccessible to residents in care. Chemicals were locked underneath the kitchen sink. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There are two self-latching gates in the backyard that can be opened in case of an emergency. No bodies of water were observed. All resident files (1) were reviewed and three staff files were reviewed. During this review, LPA observed that staff #2 did not have up-to-date training. Based on today's observations, there is one deficiency being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Stella Ladaban. This report was reviewed with the administrator and a copy was provided at the end of the visit. Appeal Right were reviewed.