Routine inspection·September 25, 2025

On September 25, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrator (AD) Camille Santos about the visit. For this visit, there are three staff members on duty, all of which are background cleared and associated. AD later arrived to assist with the inspection. The PUB475 ‘See Something, Say Something’ poster was observed to be located by the front entrance. LPA observed the Administrator's Certificate for Camille Santos, which expires on May 6, 2026. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, three of which may be non-ambulatory, one may be bedridden, and three may be on hospice. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of two non-ambulatory residents in care, one of which is on hospice. The facility is a single-story home. There are a total of five bedrooms, two of which are private resident rooms, two are shared resident rooms, and one serves as staff quarters. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. LPA observed the staff quarters to be kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of two bathrooms, both of which are for residents and staff. Continued on LIC 809-C. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be between 113.7 and 113.9 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Two food items were observed to exceed expiration dates. AD disposed of items immediately during the visit. Sharp items and knives were locked in the kitchen and inaccessible to residents in care. Fire extinguisher were charged, mounted and located in the kitchen and the living room. Fire extinguishers were dated and tagged on February 4, 2025. LPA observed the emergency disaster and evacuation plan, which is posted in the kitchen. Facility had back-up emergency food and water supply, located in the garage. LPA observed that the First Aid kit had all the required components. Medications were observed to be locked in a cabinet in the kitchen. Toxins were also observed to be locked in a cabinet below the sink in the kitchen, inaccessible to residents in care. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There are two self-latching gates in the backyard that can be opened in case of an emergency. No bodies of water were observed. Two out of two resident files and three out of five employee files were reviewed during this visit. Based on today's observations, there is one deficiency being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Camille Santos. This report was reviewed with the administrator and a copy was provided at the end of the visit. Appeal Right were reviewed.