Routine inspection·November 19, 2025

On November 19, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrator (AD) Mary Jean Catacutan about the visit. For this visit, there are two staff members on duty, both are background cleared and associated. AD later arrived to assist with the inspection. The PUB475 ‘See Something, Say Something’ poster was observed to be located by the front entrance. LPA observed the Administrator's Certificate for Mary Jean Catacutan, which expires on August 2, 2027. The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, none of which may be bedridden, and a hospice waiver granted for six. LPA toured the interior and exterior portions of the facility with staff on duty. For this visit, there are a total of five non-ambulatory residents in care, four of which are on hospice, and one is bedridden. The facility does not have a fire clearance for bedridden residents. The facility is a single-story home. There are a total of eight bedrooms, four of which are private resident rooms, one is a shared resident bedroom, and three are staff bedrooms. LPA toured each bedroom with the staff and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. LPA observed the staff bedrooms to be kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of four bathrooms, two of which are for residents and two are for staff. Continued on LIC 809-C. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be 119.6 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked underneath the kitchen sink and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. Fire extinguishers were dated and tagged on October 28, 2024. It has been over a year since the fire extinguisher was purchased. LPA observed the emergency disaster and evacuation plan, which is posted in the dining room. LPA observed the facility conducted their last emergency disaster drill on October 25, 2025. Facility had back-up emergency food and water supplies, located in the garage. LPA observed that the First Aid kit was located in the kitchen cabinet and had all the required components. Medications were also observed to be locked in a cabinet in the kitchen. Chemicals were observed to be locked in the garage, inaccessible to residents in care. LPA observed the attached two car garage is kept locked and inaccessible to residents in care. The garage is used for storage and laundry. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There is one self-latching gate and one gate with a knob that locks in the backyard that can be opened in case of an emergency. No bodies of water were observed. During this visit, six resident files and three staff files were reviewed. All staff are background cleared and associated with the facility. LPA reviewed residents’ medication and medication records and two resident interviews were conducted. Based on today's observations, there are two deficiencies being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with staff Benedicta Lapuz. This report was reviewed with the staff and a copy was provided at the end of the visit. Appeal Rights were reviewed.