Routine inspection·September 23, 2025

On September 23, 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 House Manager (HM) Brianna Bernal about the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. HM 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 Moe Jerrar, which expires on July 20, 2026. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, five of which may be non-ambulatory, one of which may be bedridden, and six of which may be on hospice. LPA toured the interior and exterior portions of the facility with HM. For this visit, there are a total of four non-ambulatory and one ambulatory residents in care, none of which is on hospice, and one is bedridden. The facility is a single-story home. There are a total of six bedrooms, five of which are private resident rooms, and one serves as staff quarters. LPA toured each bedroom with the HM 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 three bathrooms. 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 105.2 and 109.5 degrees Fahrenheit. 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 living room. Fire extinguishers were dated and tagged on April 29, 2025. LPA observed the emergency disaster and evacuation plan, which is posted by the front entrance. Facility had back-up emergency food and water supply, located in the pantry. LPA observed that the First Aid kit had all the required components. Medications and toxins were also observed to be locked in a cabinet 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. Five client records and three staff records were reviewed during this visit. Based on today's observations, there are four deficiencies being cited per Title 22 of the California Code of Regulations. A Technical Violation (TV) and a Technical Advisory (TA) were also cited. An exit interview was conducted with Brianna Bernal. This report was reviewed with the administrator and a copy was provided at the end of the visit. Appeal Right were reviewed.