Routine inspection·September 23, 2025

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 Caregiver Raquel Pamintuan after stating the reason for the visit. Administrator (Admin) Ray Santianez arrived on premise and remained at the facility to assist with the inspection. Admin has a valid administrator's certificate expiring on August 18, 2027. The following was observed during the inspection: This is a single story property located in a residential neighborhood comprised of six resident bedrooms and two resident bathrooms. Facility operates within the conditions and limitations specified on the license. LPA observed six residents in care of which one is receiving hospice service. LPA observed two caregivers on duty and verified fingerprint clearance and association statuses including the administrators. LPA along with Admin toured the interior portion of the facility. All common areas were inspected which includes the laundry room and attached two car garage. The fireplace is appropriately screened in the living room. LPA inspected all the 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. All bathrooms were found be in compliance, clean, and operational. The hot water temperature in both bathrooms measured at 105.4 and 105.0 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The two exit gates on each side of the property were operational, and there were sufficient seating and shading in the patio area. The outdoor shed which holds storage items remains secured. The two fire extinguishers were mounted, charged, and serviced on April 16, 2025. The auditory devices and smoke/carbon monoxide detectors were tested and operational. LPA observed the emergency food/water and supplies in the kitchen and garage. The first aid kit had all necessary elements. Emergency drills are conducted quarterly of various scenarios with the last date on August 2, 2025. The Complaint Poster (PUB475) poster was posted in the entry way in the correct size requirement. LPA reviewed six out of six resident files and two personnel files in which no discrepancies were found. Facility maintained all hospital and bed rail orders. Medications were audited for two out of six residents and no discrepancies were found. Based on the observations made during today's visit, no deficiencies are being cited. An Advisory Note is being issued. An exit interview was conducted with Administrator Ray Santianez, and a copy of this report was provided at exit.