Routine inspection·March 23, 2026

On March 23, 2026, 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. Facility administrator (AD) Michelle Wulfestieg was at the facility to assist with the inspection. For this visit, there are three staff members on duty, all of which are background cleared and associated. The PUB475 ‘See Something, Say Something’ poster was observed to be located in the hallway near the front entrance. LPA observed that Michelle Wulfestieg has a valid Administrator certificate which expires on April 21, 2027. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be bedridden, and a hospice waiver for six. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of three bedridden residents, one non-ambulatory resident, and one ambulatory resident in care, and four of which are on hospice. The facility is a single story home. There are a total of five bedrooms, four of which are private resident bedrooms and one is a shared bedroom. 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 that there are locked cabinets in the office for employee and resident records. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of two bathrooms, one is for residents and one is communal. 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 119.3 and 119.4 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked in a kitchen cabinet and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the living room. Fire extinguisher had a receipt with a purchase date of January 9, 2026. LPA observed the emergency disaster and evacuation plan, which is posted in the hallway. LPA observed the facility conducted their last emergency disaster drill on February 9, 2026. Facility had a valid liability certificate on file. Facility had back-up emergency food and water supplies, located in the garage. LPA observed that the First Aid kit had all the required components. Medications were observed to be locked in a medication room near the front entrance, inaccessible to residents in care. Chemicals were observed to be locked in the garage and in the kitchen. LPA observed the door leading to the attached two car garage has an auditory exit alarm. The garage is used for storage, laundry, and has an art table for residents. Chemicals are stored in a locked cabinet in the garage. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There are two self-closing gates in the backyard that can be opened in case of an emergency. No bodies of water were observed. During this visit, five resident files and four staff files were reviewed. All staff are background cleared and associated with the facility. LPA reviewed residents’ medication and medication records. Three resident interviews were conducted. Based on today's observations, there are no deficiencies being cited per Title 22 of the California Code of Regulations. A Technical Violation was issued during today's visit. An exit interview was conducted with Michelle Wulfestieg. This report was reviewed with the administrator and a copy was provided at the end of the visit.