Routine inspection·April 3, 2026

On April 3, 2026, at 8:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim was greeted and granted entry by Caregiver (CG) Nicetas Bunning. LPA Kim met with Administrator (ADMIN) Manuel Abadines and explained the purpose of the visit. ADMIN Abadines stated that he could not stay for the visit and that Staff Maria Celia Sangrador could sign on behalf of the facility. The facility is licensed to operate for six (6) nonambulatory residents and has a hospice waiver for four (4) residents. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) resident bedrooms, one (1) staff bedroom in the garage, two (2) bathrooms, two (2) living areas, dining area, kitchen, outdoor covered patio, and an attached two car garage. LPA Kim toured inside and outside of the physical plant There were no bodies of water or obstructions in the facility. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident's personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Resident’s rooms were inspected: Resident Room 1, Resident Room 2, Resident Room 3, and Resident Room 4. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 110.1 degrees F to 113.1 degrees F. A comfortable temperature of 75 degrees F maintained in the facility. LPA Kim observed the facility to be appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. Evaluation Report Continues on LIC 809-C During the visit, LPA Kim observed the facility's infection control practices, plan of operation, and screening protocols for visitors, staff, and residents. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). All mandated inspection control posters were posted. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food both were available and maintained properly. Emergency food, emergency water, and emergency supplies are stored in the garage. The smoke detectors and carbon monoxide detectors were operable. A working telephone (714-463-4634) and a tablet that has internet access that has video conferencing capability that both remain available. Emergency drills are conducted quarterly. First aid kit is maintained and contains all the necessary elements. Fire extinguisher is located in the dining area. LPA Kim conducted an audit of resident files (R1-R3), staff files (S1-S6), and medication and medication administration record. LPA observed S1, S2, and S3 did not have a current and valid CPR and First aid training available on file at the time of the visit. LPA observed S3 did not have a LIC503 or TB testing available on file at the time of the visit. Deficiencies were cited during this inspection visit according to the California Code of Regulations (Title 22, Division 6, Chapter 8). LPA observed S1, S2, and S3 did not have a current and valid CPR and First aid training available on file at the time of the visit. LPA observed S3 did not have a LIC503 or TB testing available on file at the time of the visit.. An exit interview was conducted, and a copy of this report, LIC811, LIC809D, and appeal rights were provided to Staff Maria Celia Sangrador.