Routine inspection·October 16, 2025

On October 16, 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) Eleazar Cuyson about the visit. For this visit, there are two 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 hallway. LPA observed the Administrator's Certificate for Eleazar Cuyson, which expires on May 27, 2026. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six non-ambulatory residents, none of which may be bedridden, and six may be on hospice. LPA toured the interior and exterior portions of the facility with AD. For this visit, there are a total of five non-ambulatory residents in care, two of which are on hospice, and none are bedridden. The facility is a single-story home. There are a total of four bedrooms, two of which are private resident rooms, and two are shared resident rooms. 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. Smoke and carbon monoxide detectors are hardwired and auditory exit alarms were tested and operational. There are a total of two bathrooms. 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 108.5 and 111.2 and degrees Fahrenheit. Continued on LIC 809-C. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked in the kitchen and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. Fire extinguisher was dated and tagged on April 9, 2025. LPA observed the emergency disaster and evacuation plan, which is posted in the hallway. 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 are locked and stored in the storage room in the hallway. Toxins were also observed to be locked in the garage, inaccessible to residents in care. For the exterior portion, LPA observed patio furniture under covered 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. During this visit, five resident files and three staff files were reviewed. One out of five residents did not have an Admission Agreement. LPA reviewed residents’ medication records and one resident and one staff interviews were conducted. Based on today's observations, there is a Technical Advisory being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Eleazar Cuyson. This report was reviewed with the administrator and a copy was provided at the end of the visit. Appeal Rights were reviewed.