Routine inspection·November 13, 2025

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by Administrator (AD) Nida Granville and explained the reason for the visit. Facility is licensed for six non-ambulatory residents, of which one may be bedridden with a hospice waiver for four. Currently there are five residents, of which two are on hospice during today's visit. LPA Tea reviewed five resident files and two staff files. Resident files and staff files contained all the required documentation. The administrator certificate expires on December 12, 2025, AD Granville completed all course work for renewal and is currently pending renewal. LPA Tea and the Administrator toured the facility. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of 4 resident bedrooms, 1 staff bedroom, 3 bathrooms, living room, dining room, kitchen and attached garage. LPAs observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 117.1 to 116.6 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards; doorways were free of obstructions. First aid kit had all the required elements including dressing, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen drawer. LPA also observed toxin substances locked and inaccessible to clients in care underneath the kitchen sink. The fire extinguishers throughout the facilities were fully charged. Kitchen appliances are (Annual Inspection continued on LIC809C) operational during today's visit. LPA toured the outside grounds and there is ample seating with shade and the two exit gates on both sides of the facilities are self-latching and operational. LPA observed emergency food, water and supplies in the garage. Facility provides activities based on residents’ health condition and interests, in the form of fun activities such as games, like bingo and coloring. At the time of the visit, LPA observed residents watching television and having breakfast. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the kitchen. Medications are being administered per physicians order. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the facility and a copy of this report LIC809, 809-C, LIC858, LIC859 was read and provided to the facility.