Health check·March 2, 2026

On March 2, 2026, at 1:40 PM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced case management visit for a Health and Safety check. LPA Kim met with Administrator (ADMIN) Eleazar Cuyson and explained the purpose of the visit. LPA Kim conducted a health and safety check. During the visit, LPA toured the facility and observed the following: LPA observed one staff on duty providing care to four residents. Facility maintained ample 2-day perishables and 7-day non-perishables in the kitchen. Staff stated food gets delivered one time per week. Resident hygiene supplies are stored in their bathrooms and extra supplies in the garage. The hot water temperature measured between 105.0 degrees F and 122.1 degrees F. The indoor temperature measured at 75 degrees F. All smoke detectors and carbon monoxide detectors were operational. All emergency disaster supplies were prepared and available in the garage. Facility land line, (949) 490-4062 was tested and remains available. Utilities are all in working order as well as kitchen appliances. No obstacles or hazards observed in the backyard. The backyard and the front yard have overgrown grass. The two outdoor gates were locked with a padlock. The facility removed both padlocks during the visit. All staff on LIC 500 are cleared and associated to the facility. Residents interviewed stated satisfaction with facility services and denied any issues with food supply or utilities. LPA Kim reviewed and received copies of the facility staff roster and resident roster LPA conducted interviews with one staff, three residents, and one witness. Evaluation Report Continues on LIC 809-C Deficiencies were cited during the visit per Title 22 Division 6 Chapter 3.2 of the Health and Safety Code and Title 22 Division 6 Chapter 8 of the California Code of Regulations. Facility did not have a valid and active insurance. The facility does not have an evacuation chair for the second floor at the facility. The hot water temperature measured at 122.1 degrees F in the common resident bathroom. The facility locked the two outdoor gates with a padlock. Civil Penalties were assessed during the visit for repeat violations for failure to correct and repeat deficiency for Fire Clearance. An exit interview was conducted, and a copy of this report, LIC809D, and appeal rights were provided to Administrator Eleazar Cuyson.