Routine inspection·April 7, 2026

On this day Licensing Program Analysts (LPAs) Fred Arias and Nancy Guillen made an unannounced visit to conduct a required annual visit. LPAs were greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 14 residents of which 11 may be non-ambulatory and bedridden. Facility has an approved hospice waiver for 6 residents and the home currently has 12 residents. Assistant Administrator (AAD) Franco Puzon assisted with facility tour. AAD provided updated liability insurance that expires on 7/13/2026. LPAs along with AAD toured the facility at 9AM. LPAs toured the physical plant, checked food service, and facility documentation. The facility is a two story building and consists of 8 resident bedrooms, living room, dining room, 3 staff rooms, staff kitchen, and resident kitchen as well as 3 resident bathrooms. At 9:05AM, LPAs observed a small refrigerator with resident medications that is unlocked and accessible to residents. At 9:07AM LPAs observed one of the exit doors in resident room 8 locked, preventing the resident from leaving through that door. At 9:17AM, LPAs observed a padlock placed on the exit door for room 1, preventing residents from leaving through that door. At 9:45AM, LPAs observed a resident bed in room 6 that was partially blocking access to the exit door, making it inaccessible to residents. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 107.6 degrees F and 119.1 degrees F in all bathrooms. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. LPAs toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Kitchen appliances were operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPAs reviewed the infection control and emergency disaster plans and plans are complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 1/9/2026. Outside grounds were toured. Walkways around the facility were clear of hazards. There is shaded outdoor seating for residents. Exit gate is unlocked and operational. LPAs observed the emergency food and water supply. First aid kit contained all required items including tweezers, scissors and thermometer. Facility conducts activities in the form of exercise and games. LPAs reviewed five resident files and five staff files. All resident files contained required documentation including admission agreements, physician reports, and resident appraisals. Four out of five staff files reviewed contained required documentation including required annual training, medical assessment/ TB, criminal record clearance and proof of CPR training. One staff file did not include evidence of initial 40 hours of required training upon hire. LPAs reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician order. Based on the observations made during today’s visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided along with appeal rights.