Health check·March 20, 2026

On March 20, 2026, Licensing Program Analyst (LPA) Garlli Tat made an unannounced visit to the facility to conduct a Case Management - Health Checks inspection. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator (AD) Eleazar Cuyson was notified via telephone and provided verbal consent that caregiver can sign on his behalf. On today's visit, LPA observed that facility currently has a census of five residents. LPA observed residents watching television in the living room. LPA, accompanied by staff, conducted a tour of the physical plant of the facility. LPA inspected the five resident bedrooms (one shared bedroom and four private bedrooms), living room, kitchen, dining room, and an attached two car garage. LPA observed them to be free of hazards. The garage is used for storage and laundry. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a dresser, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed the lights in each of the resident's bedroom to be operational. LPA inspected the two bathrooms located in the facility. LPA observed bathrooms to be clean and operational. Bathrooms were equipped with grab bars and non-skid floor mats. Hot water temperature measured between 105.9 and 113.3 degrees Fahrenheit. LPA observed the facility has a two day perishable and seven day nonperishable food supply located in the pantry. LPA observed kitchen appliances to be clean and operational. LPA observed the four burner convection stove to be operational. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA observed all of the facility's utilities, such as the electricity, water, gas, and internet, to be operational during the visit. Continued on LIC 809-C LPA additionally conducted interviews with two staff and two residents. One out of the two staff interviewed stated that they were paid on March 13, 2026, and they are not owed a remaining balance on their paychecks. One out of two staff reported they were not paid on March 13, 2026 and was only paid a partial amount on February 22, 2026. LPA observed that there remains an outstanding annual fee in the amount of $742.00. LPA reminded staff that the amount was due in February 14, 2026, and advised them to inform management to make a payment as soon as possible. Financial records have been received as of March 6, 2026. Based on this inspection, deficiencies were observed at this time in the areas evaluated per Title 22 Division 6 of the California Code of Regulations . See LIC809-D for deficiencies. Additionally, civil penalties will be assessed on today's visit for failure to correct and repeat violation at the amount of $500. This report was reviewed with authorized representative and a copy of this LIC809, LIC809-D, and LIC421FC report was provided and left at facility. Appeal Rights were reviewed, and a copy provided at the facility.