Routine inspection·June 6, 2025

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA Rodriguez was greeted and granted entry by facility administrator (AD) Marebith Nery. For this visit, there are a total of 6 residents in care, of which 2 are on hospice. LPA Rodriguez observed the administrator certificate for Marebith Nery which expires on July 22, 2025. LPA Rodriguez observed that the PUB475 "See Something, Say Something" poster was posted in the hallway of the facility. The facility has a total of 6 bedrooms, of which all private resident rooms. LPA Rodriguez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Facility was observed to have 3 bathrooms, of which were observed to be in good repair, and toilets were operational. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. Hot water was measured at 113.6 degrees Fahrenheit. LPA Rodriguez observed that the facility had a two-day supply of perishables and a seven-day supply of non-perishable food. LPA Rodriguez observed hallways were free of obstructions. For the exterior portion, LPA Rodriguez observed patio furniture under shading, and the grounds were free of any hazards. There are 2 gates in the backyard, which both were self-closing and self-latching. No bodies of water were observed. LPA Rodriguez observed that the facility has fire extinguishers that were charged, mounted and located in the throughout the facility with maintenance tags dated for July 2024. Sharp items, and medications were observed to be in a locked cabinet located in the kitchen. Cleaning supplies were observed to be locked and inaccessible to residents in care. LPA Rodriguez observed that the facility has the Emergency Disaster and Evacuation plan located in the facility binder, and emergency supplies located in the garage and in a pantry. LPA Rodriguez reviewed all six resident files. LPA Rodriguez reviewed staff files, and observed that present staff members are cleared and associated to the facility. For today's visit deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Nery. A copy of this report and Appeal Rights were explained and provided during the visit.