Routine inspection·July 15, 2025

On this day Licensing Program Analyst (LPA) William Vanegas conducted an unannounced visit for the purposes of completing an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Administrator (AD) Esther Rey. LPA Vanegas explained the purposes of the visit and began to set up equipment. LPA Vanegas began a tour of the facility and observed the following. This is a two storied home with eight bedrooms, five of which are for resident use, and three bedrooms that are for live in staff on the second floor. LPA Vanegas observed the kitchen area to be clean and free of any mildew or debris. LPA Vanegas observed there to be an electric stove, dish washer, microwave, refrigerator, washer, and dryer. All appeared in good repair, and tested operational. LPA Vanegas observed a 2 day supply of perishable food, and a seven day supply of non-perishable food as well as a sufficient ammount of emergency water. LPA Vanegas observed resident restrooms to be in clean and sanitary repair, LPA Vanegas observed restrooms to have operational water faucets, and toilets in good repair. Resident restrooms had all required furnishings such as a shower chair, grab bars, and slip resistant floor matts. Bathroom water tested between 114.3 and 114.5 degrees. LPA Vanegas observed all resident rooms to have required furnishings such as a bed, clean linens in good repair; meaning no strains or tears, chest drawers, a reading lamp, and enough storage space to store personal belongings. CONTINUED ON LIC809C LPA Vanegas reviewed three resident files and one staff file. All files (resident and staff) had all required documents and staff annual training was complete. LPA Vanegas observed all smoke and carbon monoxide detectors to be in good repair, and tested operational. LPA Vanegas observed all fire extinguishers to be fully charged. LPA Vanegas observed an evacuation chair in the stairwell as well. LPA Vanegas observed the outside of the facility to have a large backyard, large enough to participate in outdoor activities upon resident request. LPA Vanegas observed there to be an outdoor shaded sitting area, and no obstructions along the emergency exit route. Side doors are self latching and unlocked. LPA Vanegas observed first aid kit to have all required items such as adhesive tape, scissors, tweezers, bandages, a thermometer, and a first aid manual. LPA Vanegas observed all hazards, toxins, and sharps to be locked away and inaccessible to residents in care. However LPA Vanegas observed centrally stored medications to not be locked. LPA Vanegas reviewed medications with AD Esther Rey, per LPA Vanegas review of medications all medications are being administered per physicians orders. Based on today's observations a deficiency will be issued per tittle 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted with AD Esther Rey, and a copy of this report was provided to the facility.