Routine inspection·May 13, 2025

Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to the facility today to conduct an Annual Required inspection. LPA was greeted and granted entry by staff and explained the reason for the visit. The facility is a one story building with an approved fire clearance for six non-ambulatory residents of which 1 may be bedridden and a hospice waiver is approved for four residents. The facility has a current census of five residents in care. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two bathrooms. The hot water temperature measured between 107.8 and 118 degrees Fahrenheit and all smoke detectors were operational. The facility’s last emergency drill was conducted on April 10th, 2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed expired seasonings one of which expired in 10/2022. LPA observed secured medication storage. LPA Mendivil observed cameras in common areas, per review of cameras on Administrator's phone the cameras are live streaming video and audio to the Administrator 24/7. LPA reviewed two of two staff training and fingerprint records. LPA conducted a complete review of resident records. LPA observed hospice residents to not have a completed hospice care plan on record. LPA confirmed that administrator has a current administrator certificate which expires on May 23rd 2026. Based on observations made the following is being cited per California Code of Regulations Title 22. An exit interview was conducted and a copy of this report was provided.