Routine inspection·January 30, 2026

On January 30, 2026, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley introduced self and was granted entry into the facility by staff, after stating the purpose of the visit. Licensee/Administrator (LI) Rhoena Fajardo was present and assisted with today’s inspection. Administrator Rhoena Fajardo has an administrator certificate that expires April 10, 2026. The facility is licensed to operate for six (6) non-ambulatory residents age 60 and over, with a Hospice waiver for four. The building is a two-story home located in a residential neighborhood. It consists of the following: three (3) shared resident bedrooms, one (1) staff bedroom, three (3) bathrooms, living room area, kitchen, a covered patio with seating, and an attached two car garage. During the visit, LPA toured the inside and outside of the physical plant with LI Fajardo. There were no bodies of water or obstructions on the premises. All rooms were inspected, beds and bedding supplies were in good condition, and storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. A comfortable temperature of 72 degrees F was maintained throughout the facility. Bathrooms were found to be clean and operational, with water temperatures measured between 106.3 degrees F and 106.5 degrees F. The smoke alarms and carbon monoxide detectors were operable. First aid kit is maintained and contains all the necessary elements. CONTINUE TO LIC809-C.... Emergency safety drills were last conducted on January 20, 2026. The facility has one (1) fire extinguisher that was charged, mounted, and last serviced November 11, 2025. Current Liability Insurance was provided during the visit with a policy start date of March 21, 2025, through March 21, 2026. A working telephone (714)349-6183 remains available and the facility has a device that can be used for video teleconference purposes. LPA conducted an audit of five (5) resident files (R1-R5), three (3) staff files (S1-S3), and medication and medication administration record review. Resident and staff interviews were conducted. Based on today's observations, no deficiencies are being cited. An exit interview was conducted with Licensee Rhoena Fajardo, and a copy of this report were provided to staff at exit.