Routine inspection·June 27, 2025

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conducted the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Jasmin Avila and discussed the purpose of the visit. The facility currently has 4 residents in care. The facility is a one story home with six resident bedrooms, two staff rooms, kitchen, living room, dining room, three bathrooms, attached 2 car garage and a backyard. Facility appears clean, safe and sanitary. LPA observed the required departmental postings throughout the facility. LPA observed residents napping and eating lunch. LPA observed activities for resident enjoyment. All resident bedrooms had the required components and furnishings. LPA observed the kitchen to be free of vermin. LPA observed the knives and sharps to be under the locked kitchen sink and made inaccessible to residents in care. LPA observed a seven day non perishable and two day perishable food supply on hand. LPA observed a fire extinguisher in the living room and kitchen charged and with a service date of March 19, 2025. LPA observed the centrally stored medication to be in the locked closet by the front door making them inaccessible to residents in care. LPA observed the resident bathrooms to have toilet paper, paper towels, and textured shower flooring. LPA tested the water to be at 115.7-115.8 degrees Fahrenheit. LPA observed clean linens in the hall closet located by the resident bedrooms. LPA observed the garage to be locked and made inaccessible to residents in care. LPA observed the toxins and chemicals to be stored in the locked garage. LPA observed the garage being used as a staff break area. LPA observed the backyard to be free of obstructions. LPA observed a shaded seating area for resident use. LPA observed the emergency food and water supply. LPA and AD tested the fire and carbon monoxide detectors and they were found to be operational. Continue on LIC 809-C LPA reviewed staff files, no discrepancies were observed. LPA reviewed resident files and no discrepancies were observed. LPA reviewed resident medications and no discrepancies were observed. LPA observed the last fire drill conducted on May 30, 2025. All staff present are background cleared and associated to the facility. Based on today’s observations, no deficiencies were noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Jasmin Avila and a copy of this report was left at the facility.