Routine inspection·July 22, 2025

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Leah Fajardo and explained the purpose of the visit. The facility currently has four residents in care. The facility is a one story home with a living room, kitchen, staff room, two bathrooms, four resident bedrooms, dining room, and attached two car garage. Facility appears clean, safe and sanitary. LPA observed four residents watching tv and lounging in their bedrooms. LPA observed all resident bedrooms to have the required components and furnishings. LPA observed clean linens in the hall closet located by the resident bedrooms. LPA tested the water in both bathrooms to be between 107.2-107.8 degrees Fahrenheit. LPA observed the bathrooms to be stocked with toilet paper, paper towels and non-slip mats. LPA observed the locked medication closet to be by the front door and made inaccessible to residents in care. LPA observed the kitchen to be free of vermin. LPA observed a seven day non-perishable and two day perishable food supply on hand. LPA observed the sharps to be in a locked drawer making them inaccessible to residents in care. LPA observed a fire extinguisher charged and with a service date of May 15, 2025. LPA observed the staff room through the kitchen to be locked making it inaccessible to residents in care. LPA observed the garage to be locked and made inaccessible to residents in care. LPA observed the toxins and chemicals to be in the locked garage. LPA observed the emergency food supply and extra food to be stored in the garage. LPA observed the backyard to be free of obstructions. LPA observed a shaded seating area for resident use. LPA and AD tested the carbon monoxide detectors and they were found to be operational. Continue on LIC 809C LPA reviewed staff files and no discrepancies were observed. LPA reviewed resident files and 2 of 4 residents do not have updated reappraisal. LPA observed a fire drill last conducted on April 15, 2025. LPA reviewed resident medication and 1 of 4 residents has an over the counter medication that does not have a physicians order. All staff present are background cleared and associated to the facility. Based on today’s observation a technical violation and a deficiency are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with AD Leah Fajardo and a copy of this report along with LIC809-D, appeal rights, LIC858, LIC 9102 were given at the time of the inspection.