Routine inspection·July 7, 2025

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrator Celfa Aronne was notified of the visit via telephone and arrived later to assist. There are currently three residents in care, two of which are receiving hospice care at this time. LPA observed residents relaxing in their respective bedrooms or in the facility's common living areas. LPA accompanied by facility staff toured the physical plant. The facility is a one-story house with an attached garage, with four private bedrooms, one shared bedroom and an additional staff room. There are are two shared bathrooms on the premises. Bedrooms appear clean and sanitary. Both hospice residents are observed to have beds equipped with full-length bed rails. Hospice plans of care reviewed for both, however one hospice file does not include the order for postural support. Consultation provided. All resident bedrooms have the required furnishings. Bathrooms appear clean and sanitary and are equipped with grab bars and slip mats. Hot water temperature measured within acceptable limits by facility staff regularly. LPA observed the kitchen has a minimum two (2) day perishable and seven (7) day non-perishable food supply. Sharp items, cleaning supplies and the medication central storage are verified to be secure. CONTINUED ON FORM LIC809-C CONTINUED FROM LIC809 Both fire extinguishers present are charged with up-to-date maintenance tags. Maintenance will be performed on the day of the visit for the upcoming year. Carbon monoxide and smoke detectors were found to be present and operational. The garage is secured and used for the storage of supplies and food. Emergency food and water supplies verified to be present. LPA and facility staff toured the outside of the facility. LPA observed a shaded outdoor seating area with furniture for resident use. The identified routes of egress are free of clutter and obstructions. There are self-latching gates on both sides of the premises. There are no bodies of water present. Egress alarms are in use on exit doors, however facility does not utilize locked perimeters or delayed egress. LPA reviewed three resident records which included all necessary components. LPA reviewed resident medication records and prescription orders for all residents with no discrepancies observed. One resident's admission agreement is still established under the previously licensed entity. Consultation provided. LPA reviewed staff records for two staff members present during the visit. CPR training, initial and annual training reviewed for 2024 and 2025. Disaster drills are conducted quarterly and documented. Staff members are verified to be background cleared and associated to the licensed location. The administrator certificate is however neither pending nor current due to a delay in payment. Payment submitted during the visit. Type B deficiency issued. Based on the observation conducted during the present visit, one type B deficiency is being cited per Title 22 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with appeal rights was provided.