Routine inspection·October 17, 2025

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced Required – Annual Inspection at the facility. Upon arrival, LPA was greeted and granted entry by Care Staff Briyan Yosjaya, who was informed of the purpose of the visit. Administrator (AD) Jacklyn Concepcion arrived shortly thereafter. During the inspection, LPA, accompanied by facility staff, conducted a comprehensive tour of the interior and exterior of the facility, including common areas, residents’ bedrooms, kitchen, and garage. The facility is a single-story home consisting of four bedrooms and two bathrooms, with a detached garage. At the time of the visit, six residents were in care. LPA observed the kitchen area and confirmed that all appliances were operational. Knives and cleaning chemicals were properly secured in a locked kitchen cabinet, inaccessible to residents in care. Restroom #1 was found to be non-operational due to a leaking showerhead from the main pipe and a clogged bathtub drain. Additionally, the shower lacked a non-slip mat. Water temperature in both restrooms measured between 107.6 and 109.6 degrees Fahrenheit, which is within the regulatory range. LPA toured the exterior of the facility and observed a shaded seating area available for residents’ use. All emergency exits were found to be unobstructed and easily accessible. Upon inspection of food supplies, it was determined that the facility did not maintain the required two-day supply of perishable food and seven-day supply of non-perishable food as required by regulation. {***CONTINUE***} Additionally, the facility did not have an emergency supply of food and water available. Smoke detectors and carbon monoxide detectors were tested and found to be operational. The fire extinguisher was fully charged, with a purchase date of August 29, 2025. A review of two resident files and two staff files indicated that all required documentation was current. LPA observed that the facility’s posted PUB 475 was not in compliance with the required regulatory size of 20 x 26 inches. Review of the emergency drill log showed that the most recent drill was conducted on September 23, 2025. Based on observations made during today’s inspection, deficiencies are being cited in accordance with Title 22, Division 6 of the California Code of Regulations. This report was reviewed with the Administrator, and a copy of the report and appeal rights were provided to the Administrator at the conclusion of the visit.