Routine inspection·February 18, 2026

On February 18, 2026, at 1:30 PM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Administrator (ADMIN) Bahira Hanna and explained the purpose of the visit. The facility is licensed to operate for two ambulatory and four (4) nonambulatory residents, of which one (1) may be bedridden, Bedrooms 1, 2, 3, and 6 are approved for non-ambulatory or one bedroom. Facility has a hospice waiver for four (4) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: one (1) staff bedroom, six (6) resident bedrooms, three (3) bathrooms, living area, dining area, kitchen, outdoor covered gazebo, and an attached two car garage. LPA Kim toured inside and outside of the physical plant. There were no bodies of water or obstructions in the facility. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, Resident Room 4, Resident Room 5, and Resident Room 6. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 105.0 degrees F to 105.8 degrees F. A comfortable temperature of 74 degrees F was maintained in the facility. Evaluation Report Continues on LIC 809-C LPA Kim observed the facility to be appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food both were available and maintained properly. During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The smoke detectors and carbon monoxide detectors were operable except in the staff room. The staff room was missing a smoke detector. A working telephone (714-378-0347) remains available. Emergency food, emergency water, and emergency supplies are stored in the garage. The facility has one (1) fire extinguisher that is charged and mounted in the kitchen. LPA Kim conducted an audit of resident files (R1-R2), staff files (S1-S2), and medication and medication administration record. LPA observed S1 and S2 did not have a LIC503 on file. LPA observed there was no LIC500 or any record of staff coverage for staff working hours. Deficiencies were cited during this visit as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. LPA observed no smoke detector in the staff room. LPA observed S1 and S2 did not have a LIC503 in their files. LPA observed there was no LIC500 or any record of staff coverage for staff working hours. An exit interview was conducted, and a copy of this report, LIC809D, LIC811 and appeal rights were provided to Licensee Bahira Hanna.