Routine inspection·January 16, 2026

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 (S1) at 1pm. During today’s visit, LPA spoke with the Administrator, Shirley Hills, via phone. Administrator gave permission for staff to sign the report. The facility is a five bedroom, two bathroom single story residence with an approved fire clearance of six non-ambulatory residents; of which all may be bedridden . The facility is approved with a hospice waiver for six residents. The facility currently has a census of five residents in care. During today's visit LPA toured the facility and tested the smoke and carbon monoxide detectors. All detectors were operational. LPA observed the two fire extinguishers were charged and inspected on December 8, 2025. The facility conducted a fire drill on September 10, 2025. LPA observed the First Aid Kit had all the required elements and the facility had a First Aid book on hand. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. While touring the kitchen, LPA observed two-days of perishable items in the refrigerator and seven-days of non-perishable items in the freezers and pantry. Emergency supplies and water were observed in the garage. All appliances, including washer and dryer, were in working order. Chemicals were secured and locked in the laundry room. Sharps and knives were secured in the medication storage. (Continued on LIC 809-C) (Continued from LIC 809) LPA tested the hot water temperature in one of one client bathroom since the second bathroom is only used by staff and guests. The hot water temperature measured 111.0 degrees Fahrenheit. LPA toured the exterior of the property and there were no hazards or obstructions in pathways. There is ample yard space for activities and the facility recently held a Christmas party event in the backyard. A covered seating area was observed for residents to enjoy. LPA observed the Theft and Loss policies, emergency information and the PUB 475 See Something, Say Something Poster. LPA reviewed two of two staff training and fingerprint records and conducted a complete review of resident records. Bed rail orders were on file. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on February 14, 2027. LPA spoke with Administrator regarding licensee fees that were due and confirmed the licensee mailing address on file. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Ara Ditchon, caregiver and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit and will be mailed to the licensee.