Routine inspection·December 9, 2025

On December 9, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Licensee Jonathan Martinez was notified via telephone and later arrived to assist with the inspection. LPA observed that Jonathan Martinez has a valid Administrator certificate which expires on March 8, 2027. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six residents, of which five may be non-ambulatory and one may be bedridden, and has a hospice waiver for six. The facility is a single story home which consist of four resident bedrooms, two of which are shared, two shared resident bathrooms, a living room, a dining room, a storage room, a family room, a sun room, a kitchen, and an attached two car garage. LPA, accompanied by the LI, conducted a tour of the interior portions of the facility. On today's visit, LPA observed four residents in care. LPA observed the See Something, Say Something poster (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected the four resident bedrooms and observed them to be clear of any hazards. LPA observed resident 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 additional linens to be stored in a hallway closet. LPA inspected the two shared resident bathrooms and observed them to be clean. Resident bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 120 and 123 degrees Fahrenheit. LPA observed the facility has a two day perishable and a seven day non-perishable food supply in the kitchen. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. CONTINUED ON LIC809-C LPA observed two fire extinguishers to be mounted in the facility which were observed to be charged and up to date on service. LPA tested the wired smoke detectors/carbon monoxide detectors which tested operational. LPA observed the facility conducted their most recent emergency disaster drill on July 12, 2025. LPA observed the centrally stored medication to be kept in a locked cabinet located in the kitchen. LPA observed there is also a First Aid kit stored in the locked cabinet which has all the required components. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage and laundry. LPA observed chemicals and toxins to be stored in the garage. LPA observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by the LI, conducted a tour of the exterior portions of the facility. LPA observed the exterior to be clear of any obstructions or hazards. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gates to be self-latching and can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all four resident files. LPA observed there were no Pre-Admission Appraisals on file for all four residents in care. LPA reviewed the residents' medication and medication administration records. LPA reviewed four staff files. LPA observed that Staff #2 (S2), Staff #3 (S3), and Staff #4 (S4) do not have valid CPR training cards on file. LPA observed that Staff #1 (S1), Staff #2 (S2), and Staff #4 (S4) did not have a Health Screening report on file. LPA observed that zero out of the four staff completed the required initial forty hours of training. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, deficiencies are being cited on the attached LIC809-Ds. An exit interview was conducted with Licensee Jonathan Martinez. A copy of the report and Appeal Rights were provided.