Routine inspection·April 15, 2026

LIcensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 (S1) at 1:15pm. LPA met with Administrator Celia Rodriguez and explained the purpose of the visit. The facility is a five bedroom, three bathroom single-story residence with an approved fire clearance for five non-ambulatory and one bedridden. The facility is approved for a hospice waiver for three. Currently no residents are on hospice at this time. During the visit LPA toured the kitchen and observed the refrigerator had two days of perishable items and seven days of non-perishables. All appliances were operational. Sharps and knives are secured and cleaning supplies are locked underneath the sink. The washer and dryer room are adjacent to the kitchen and are in working order. The fire extinguisher was charged and serviced and the facility conducted a fire drill on April 14, 2026. Smoke and carbon monoxide detectors were inspected and were operational. LPA toured resident rooms and all bedrooms had linens, and required furnishings. The facility was clean and there were no odors detected. LPA tested hot water temperature in two of two resident bathrooms. The hot water temperature ranged between 108.5 to 113.5 degrees Fahrenheit. Bathroom showers had grab bars and non-skid flooring. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. A First Aid Kit had the required elements and a First Aid Book was obtained. (Continued on LIC 809-C) .(Continued from LIC 809) Upon walking the exterior, LPA observed all walkways were clear and unobstructed. There is ample space for walking and outdoor activities and shaded seating areas are available. Emergency supplies and water were stored in the garage and the facility has two generators. LPA reviewed two of two staff training and fingerprint records and conducted a complete review of resident records. Bedrail orders for half and full side rails were observed. Files were maintained and it was discussed that paperwork is required to be retained for three years. LPA discussed updating Appraisal Needs and Services Plans and Medical Assessments if any changes of condition occur. Staff training documentation was electronic and was recommended to print in each employee file. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on July 19, 2026. Administrator (AD) will be paying fees by due date and a fact sheet for Legionnaire's Disease was given to the AD for review. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Administrator (AD) Celia Rodriguez and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.