Health check·March 4, 2026

On March 4, 2026, Licensing Program Analyst (LPA) Brandon Lopez 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. Licensee Allen Medina was notified via telephone but was unable to assist with today's inspection. On today's visit, LPA observed that facility current has a census of one resident. However, there were no residents physically present at the facility during today's visit. Per staff on duty, the one resident still remains at a Skilled Nursing Facility and a return date to the facility has not been scheduled yet. LPA, accompanied by a care giving staff, conducted a tour of the physical plant of the facility. LPA inspected the five resident bedrooms and observed them to be free of hazards. LPA observed residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, 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 five bathrooms located in the facility, three of which are dedicated for resident use. LPA observed bathrooms to be clean. LPA observed that a light in one of the five bathrooms is still not operational. Bathrooms were equipped with grab bars and non-skid floor mats. Hot water temperature measured between 115.9 and 119.2 degrees Fahrenheit. LPA observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the six burner gas stove lights unassisted. LPA observed the facility has a three day emergency food and water supply stored in the kitchen pantry. LPA observed that the paint in the kitchen pantry area is still peeling and still has not been fixed. LPA observed all of the facilities utilities, such as the electricity, water, gas, and internet, to be operational during the visit. CONTINUED ON LIC809-C LPA, accompanied by a care giving staff, conducted a tour of the exterior portions of the facility. LPA observed that the side yard and backyard are still overgrown. LPA observed the grass is still overgrown, bushes are still overgrown, weeds are still present in the yards, the palm trees have not been trimmed, and debris to be present in the walkways. LPA observed the roof of the house and it's gutters to still be dirty and full of debris. Additionally, LPA observed the outdoor furniture in the backyard still has not been replaced, and is still not in good condition. LPA conducted interviews with three staff during the visit. Three out of the three staff interviewed reported that they received their owed wages from the pay period of February 13, 2026, and were currently up to date on their pay. The three staff interviewed reported that their next pay date is on March 7, 2026. LPA observed that the Licensee has still not paid the facility's annual fees for the year of 2025 and currently has an outstanding balance of $742.00 for the facility's annual fees. Based on the observations made during today's visit, no deficiencies are being cited per Title 22 of the California Code of Regulations. However, civil penalties will be assessed on today's visit, for failures to correct. The Licensee has not corrected a deficiency that was cited during a previous visit to the facility on February 25, 2026, and as a result, will receive a $800.00 civil penalty. The Licensee has not corrected two deficiencies cited during a previous visit to the facility February 18, 2026, as a result, will receive two civil penalties in the amount of $800.00 each. The Licensee has not corrected two deficiencies that was cited during a previous visit to the facility February 5, 2026, and as a result, will receive two civil penalties. One civil penalty will be in the amount of $600.00, and the second will be in the amount of $800.00. The total amount of civil penalties that are being assessed on today's visit is $3,800.00. An exit interview was conducted with Licensee Allen Medina via telephone. Licensee Allen Medina authorized the care giving staff present to sign the report on his behalf. A copy of the report and Appeal Rights were provided.