Routine inspection·March 3, 2026

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conducted the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Theresa Dompreh-Mensah and discussed the purpose of the visit. The facility currently has 5 residents in care. The facility is a one story home with three resident bedrooms, two resident bathrooms, one caregiver room, one caregiver bathroom, living room, kitchen, dining room and attached two car garage. The facility appears clean, safe and sanitary. All resident bedrooms have the required components and furnishings. LPA observed a fresh supply of linens in the closet located in the hall by the resident rooms. LPA observed the bathrooms to have toilet paper, paper towels and texture shower flooring. LPA observed the caregiver room to be clean and free of medications and toxins. LPA observed the kitchen to be clean and free of vermin. LPA observed a two day perishable and seven day non perishable supply on hand. LPA advised AD that they are at the minimum supply to meet regulatory requirements and advised that more groceries need to be purchased as to not go below what is required to maintain compliance. The medications are locked and stored in a kitchen cabinet making them inaccessible to residents in care. The knives and sharps are locked in a kitchen drawer by the sink making them inaccessible to residents in care. Toxins and chemicals are locked under the kitchen sink making them inaccessible to residents in care. LPA observed a fire extinguisher charged and with a service date of December 1, 2025, mounted to the wall next to the See Something Say Something poster in the living room by the entrance of the kitchen. LPA observed the garage to be locked and made inaccessible to residents in care. The emergency food and water supply was observed in the garage cabinets. LPA observed a shaded seating area for resident use and no debris or obstructions were observed on the outside of the facility. Continue on LIC809C AD tested the carbon monoxide and smoke detectors and they were found to be operational. LPA reviewed staff records and no discrepancies were observed. LPA reviewed resident records and observed 3 of 5 residents do not have bed rail orders for the half bed rails that were observed during the tour of the facility. LPA reviewed the emergency disaster plan has not been reviewed/updated and does not include newer staff. LPA reviewed the last disaster drill was conducted on February 1, 2026. LPA reviewed resident medications and no discrepancies were observed. All staff present are background cleared and associated to the facility. Based on today’s inspection a deficiency along with technical violation and advisory are being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with LIC809D, LIC858, technical violation, advisory, and appeal rights were left at the facility.