Routine inspection·March 19, 2025

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Caregiver Blanca Gonzalez. Administrator (AD) Mary Jean Alvarado was notified via telephone by staff. For today’s visit, LPA observed a total of two residents in care and two staff member on duty. LPA observed the AD certificate for AD Mary Jean Alvarado which expires on June, 08, 2026. LPA Ramirez toured the interior and exterior portions of the facility with Caregiver Eisenhower Belo. The facility is a single level structure and is licensed for five non-ambulatory, one bedridden and has a Hospice waiver for four. For this visit, there are a total of five residents in care. There are a total of six bedrooms, of which five are private resident bedrooms. LPA Ramirez 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. Smoke and carbon monoxide detector were tested and operational. There are a total of four restrooms. Restrooms were observed to be in good repair, toilets were operational, and grab bars and non-skid floor mats were provided. Water temperature tested between 105.4-105.6 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to residents in care. Fire extinguisher was charged, mounted and located by the dining room. Fire extinguisher was service on May 09, 2024. CONTINUED ON LIC809-C... LPA Ramirez observed the emergency disaster and evacuation plan, which is posted by the dining room. Facility had back-up emergency food and water supply. LPA observed that the First Aid Kit had all the required components. LPA observed that medications and toxins were locked and inaccessible to residents in care. Medications are locked in a cabinet in the garage. For the exterior portion, LPA Ramirez observed a shaded area with patio furniture, and the grounds were free of any hazards. There is one gate in the backyard. No bodies of water were observed. LPA reviewed two resident files and three staff files. LPA interviewed residents and staff present. For today's visit one deficiency was issued per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with facility representative. A copy of this report and Appeal Rights were provided at the time of exit.