Routine inspection·February 4, 2026

On February 4, 2026, Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced required visit. LPA was greeted by staff and granted entry after stating the purpose of the visit. Administrator Russel Cruz was available to assist with the facility inspection. Administrator Dung Pham and Licensee Charles Pham arrived shortly after to assist with inspection. The facility is licensed for five (5) non-ambulatory residents, one (1) Ambulatory, one (1) bedridden with approved hospice waiver for two (2) residents. Currently, there are no (0) Hospice residents present during today’s visit. Facility has five residents present during today’s visit. This is a single story with detached garage home. The facility has six bedrooms and two full bathrooms. LPA conducted a tour of the physical plant accompanied by Administrator Cruz, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, blankets and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 114.0 degrees F. A comfortable temperature of 78 degrees F. was maintained in the facility. LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, toxins and sharps objects were stored and not accessible to residents. The kitchen was inspected and facility had operating appliances. Facility has supply of emergency food, water and sufficient perishable & non-perishable food was maintained adequately. Facility has one fire extinguisher which was fully charged. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance. During the visit, LPA observed the facility's infection control practices. LPA observed screening protocols for visitors, staff, and residents, and sanitizing stations in common areas and restrooms. LPA observed the facility has a supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. LPA observed First Aid Kit was maintained. A working landline phone was operational. The last fire drill was conducted on 2/2/2026. The facility had operational smoke and carbon monoxide detectors in bedrooms and common areas. The facility has current liability insurance on file effective 6/28/2025 – 6/28/2026. A review of five residents (R1-R5) service files and three staff (S1-S3) personnel files revealed to be complete. The facility has the current administrator's certification on file for Russel Cruz # 6074165740 - Expiration 1/5/2027 Based on the observations made during today's visit, a deficiency is being cited as per the Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted, and a copy of this report and appeal rights were provided to Licensee Pham.