Routine inspection·March 17, 2026

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting a Required – 1 Year Inspection. LPA met with Administrator (AD) Angelo Buenaventura and discussed the purpose of the inspection. LPA reviewed Infection Control requirements. At about 10:00AM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure: facility is a 4-bedroom, 3-bathroom, one-story house with an attached garage that is used for storage. There is a back yard with a patio cover for the residents. LPA and AD observed 2 staff and 5 residents present at the facility. Resident Bedrooms: the 4 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Furniture for each resident bedroom inspected. Staff Bedrooms: there are no staff bedrooms. Bathrooms: the bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 110 and 113 degrees F in the 2 resident bathrooms. Linens & Hygiene Supplies: new linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: reviewed. Food Service: LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher: observed and tested. Appliances: stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen. Toxins: observed locked in the garage. Medication cabinet: observed to be locked. First-Aid Kit and Activity Supplies: observed and available. Facility’s licensing fees are paid. At about 7:45AM, LPA reviewed 5 resident files and 3 staff files, interviewed 2 residents and 2 staff, and inspected medications for 5 residents. Facility does not handle resident money. During the inspection, LPA and AD observed the following: based on observation, the facility's west backyard exit gate, which is marked as the exit path for emergencies on the fire clearance, was locked with a deadbolt and the facility's east backyard exit gate also had a deadbolt on it, although it was not locked; based on observation, the facility's fire extinguishers were purchased over a year ago and have not been inspected; based on documents, S3's health screening does not indicate whether or not they have TB; based on documents, the first aid certificates for S2 and S3 expired about a month ago; based on documents, S2 and S3 only have 2.5 hours of medication training in the past year; based on documents, the physician's reports for R1, R2, and R3 are on the old form and do not contain required information, including behavioral expressions; based on documents, the appraisals for R1 and R3 have not been updated in over a year; based on observation and admission, the licensee could not locate the facility's emergency disaster plan digitally and admitted there is no printed copy at the facility as required; and based on documents and admission, the licensee is unable to provide records showing quarterly emergency disaster drills. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. Immediate civil penalties are being assessed. See LIC421IM. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.