Routine inspection·September 29, 2025

On September 29, 2025, at 10:00am, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was greeted and granted entry by Caregiver (CG) Lolita Alforte. Administrator (AD) Ali Naghibi arrived at the facility and was present during the inspection. The facility is licensed to operate for six (6) non-ambulatory residents of which one (1) may be bedridden in Room 5, and has a hospice waiver for six (6) residents. The building is a single story structure located in a residential neighborhood. It consists of the following: six (6) resident bedrooms, one (1) staff bedroom, three (3) bathrooms, living room area, dining area, kitchen, an outdoor covered seating area, and an attached two car garage. LPA Bentley toured inside and outside of the physical plant with AD Naghibi. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked and available at the time of visit. Bathrooms were found to be clean and operational. The water temperatures measured at 110.8, 111.9, and 112.2 degrees F. A comfortable temperature of 76 degrees F was maintained in the facility. LPA Bentley observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available. CONTINUE TO LIC809-C.... During the visit, the smoke detectors and carbon monoxide detectors were tested and observed operable. A working telephone (714-274-9594) remains available, and the facility has a device that can be used for video teleconference purposes. Emergency food, emergency water, and emergency supplies were stored in the garage. Emergency safety drills were last conducted on June 30, 2025, and are conducted quarterly. The facility has one (1) fire extinguisher that was charged, mounted in the kitchen, and serviced on July 25, 2025. The first aid kit is maintained and contains all the necessary elements. Liability Insurance is effective March 30, 2025, and expires on March 30, 2026. LPA Bentley conducted an audit of six (6) resident files (R1-R6), three (3) staff files (S1-S3), and medication and medication administration review were all in order and complete. Interviews were conducted with six (6) resident and two (2) staff present during the visit. Based on today's observations, no Deficiencies were cited during the time of the visit. An exit interview was conducted, and a copy of this report was provided to Administrator Ali Naghibi.