Routine inspection·June 5, 2025

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced visit to the facility for the purpose of conducting the required annual inspection. LPA Rodriguez was greeted and granted entry by staff on duty, who contacted facility administrator (AD) Camille Santos about visit. For this visit, there are a total of 6 resident in care, of which all 6 are on hospice and 1 is bedridden. For this visit, AD Camille Santos and Tristan Lingat were present. LPA Rodriguez observed the administrator certificates for Camille Santos expires on May 6, 2026, Fregil Jimenez expires on August 24, 2025 and Tristan Lingat expires on October 16, 2025. LPA Rodriguez observed that the PUB475 "See Something, Say Something" poster was posted at the entrance of the facility. The facility has a total of 6 bedrooms, of which 1 is designated for staff, 1 shared resident room, and 4 private resident rooms. LPA Rodriguez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Facility was observed to have 3 bathrooms, of which were observed to be in good repair, and toilets were operational. Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. Hot water was measured at 112.8 degrees Fahrenheit. LPA Rodriguez observed that the facility had a two-day supply of perishables and a seven-day supply of non-perishable food. LPA Rodriguez observed hallways were free of obstructions. For the exterior portion, LPA Rodriguez observed patio furniture under shading, and the grounds were free of any hazards. There are 2 gates in the backyard, which both were self-closing and self-latching. No bodies of water were observed. LPA Rodriguez observed that the facility has fire extinguishers that were charged, mounted and located in the kitchen with a maintenance tag dated for 2025. Sharp items, and medications were observed to be in a locked drawer located in the kitchen. Cleaning supplies were observed to be locked cabinet located in the kitchen and garage. LPA Rodriguez observed the Emergency and Disaster Plan posted in the kitchen, and that the facility has emergency supplies located in the garage. LPA Rodriguez reviewed all six resident files. LPA Rodriguez reviewed staff files, and observed that current staff members are cleared and associated to the facility. For today's visit no deficiencies were issued per Title 22 Division 6 of the California Code of Regulations. No citations were issued. An exit interview was conducted with AD Santos and Lingat. A copy of this report was explained and provided during the visit.