Routine inspection·March 19, 2026

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Karla Paulo after introducing and stating the reason for the visit. House Manager (HM) Arnold Mendoza and Assistant Caregiver (AC) Kian Pascual are certified administrators. Both maintain a valid certificate expiring on December 6, 2027 for HM and May 26, 2028 for AC. The following was observed during the inspection: This is a single story property located in a residential neighborhood comprised of six resident bedrooms three resident bathrooms, and one private staff bedroom. Facility is not operating within the conditions and limitations specified on the license as Room #2 is approved to house a bedridden resident also noted per the fire clearance. Resident #3 (R3), who is considered bedridden per the physician's report is housed in Room #3 while Resident #2 who is non-ambulatory is housed in Room #2. LPA observed five residents in care, two of which are receiving hospice services. LPA toured the interior portion of the facility. The facility is clean and in good repair. All common areas were inspected including the attached two car garage. LPA inspected all resident bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found be in compliance, clean, and operational. Slip resistant mats were available. The hot water temperature in the bathrooms measured at 108.5, 109.4, and 110.3 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The exit gates are operational, and there were sufficient seating and shading in the patio area. There are no bodies of water on premise. The first aid kit contains all necessary elements. The three fire extinguishers were mounted, charged, and serviced on February 3, 2026. The auditory devices and smoke/carbon monoxide detectors were tested and operational. Facility maintains emergency food and water. The facility land line number, (714) 916-0099, was tested and remains available. Complaint Poster, 'See Something, Say Something,' (PUB 475) was available and posted in the correct size in the entry way. LPA reviewed five of five resident and four of four personnel files in which no discrepancies were found. Medications were audited for two of five residents. No discrepancies were found with medication administration. However, staff were reminded to maintain an accurate record of dosages administered. Present staff are background cleared and associated to the facility. Staff training is up-to-date. Disaster drills are conducted quarterly as last known drill per log was conducted on February 19, 2026. LPA consulted on the following: to ensure that Room #2 is designated to a bedridden resident and to maintain an accurate record of medications administered during the development of the medication administration record app. Based on the observations made during today's visit, a deficiency is being cited and a Technical Violation is being issued. An exit interview was conducted with House Manager Arnold Mendoza, Assistant Caregiver Kian Pascual, and Caregiver Karla Paulo, and a copy of this report including the appeals rights were provided at exit.