Routine inspection·May 4, 2026

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Teresita Escudero after introducing self and stating the reason for the visit. Administrators (Admins) Priscilla Celis and Liza Delacruz and Administrator's Assistant Liza Rebecca arrived on site to assist with the inspection. Admin Celis has a valid certificate expiring on July 7, 2027 and November 18, 2027 for Admin Delacruz. The following was observed during the inspection: This is a single story property located in a residential neighborhood comprised of five resident bedrooms and three resident bathrooms. Facility is operating within the conditions and limitations specified on the license as LPA observed six residents in care with four residents under the care of hospice. LPA observed three staff on duty. LPA toured the physical plant with Caregiver Buenaventura Certeza and later with Admin Celis. The facility is clean and in good repair. All common areas were inspected including the attached two car garage. LPA inspected all resident bedrooms. The resident bedrooms' were appropriately furnished, beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage space for each residents' personal belongings were observed. All bathrooms were found be in compliance, clean, and operational. Slip resistant mats were available. The hot water temperature in the bathrooms measured at 110.3, 110.3, and 108.1 degrees Fahrenheit. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed ample two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. The outdoor passageway is free of obstruction. The exit gate is operational, and there were sufficient seating and shading in the patio area. There are no bodies of water on premise, and the fire place was screened appropriately. The first aid kit contains all necessary elements. The fire extinguisher was mounted, charged, and serviced on March 17, 2026. The auditory devices and smoke/carbon monoxide detectors were tested and operational. Facility maintains emergency food and gallon sized water in the garage. A working telephone (949-215-1591) was tested and remains available. Complaint Poster, 'See Something, Say Something,' (PUB 475) was available and posted in the entry way in the correct size. LPA reviewed six residents and three personnel files in which no discrepancies were found with the exception of two resident files as no Tuberculosis (TB) tests were obtained. Medications were audited for three of six residents. No discrepancies were found with medication administration and documentaiton. Present staff are background cleared and associated to the facility. Disaster drills are conducted quarterly as last known drill per log was conducted on February 18, 2026. LPA consulted on the following: to ensure all residents obtain a TB test prior to admission, and to obtain disaster supplies noted on the Emergency Disaster Plan (LIC610E). Based on the observations made during today's visit, a deficiency is being cited and a Technical Advisory is being issued. An exit interview was conducted with Administrators Priscilla Celis, Liza Delacruz, and Administrator's Assistant Liza Rebecca, and a copy of this report including the appeals rights were provided at exit.