Routine inspection·May 4, 2026

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by Lead Staff (LS) Crystal Lopez and explained the reason for the visit. Administrator (AD) Norma Roman arrived shortly to assist with the visit. Facility is licensed for six non-ambulatory residents in bedrooms #1, #2, and #3, with an approved hospice waiver for six. Currently there are no residents in care during today's visit. The administrator hopes to have residents for the facility during this year and is awaiting approval for the ALW program. LPA Tea along with the staff toured the facility. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a one-story home with three resident bedrooms, that will be shared rooms, a staff office room, two bathrooms, a living room, a kitchen, a dining area, a breakfast nook, and an attached two car garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms to be operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 105.6 to 110.1 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards; doorways were free of obstructions. First aid kit had all the required elements including dressing, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Kitchen appliances were slight operational during today's visit. Sharps are locked and stored in a secured box and stored in a kitchen cabinet. Medications are stored in a secured cabinet in the dining are. Emergency food and water were observed in the garage. LPA also observed toxin substances inaccessible to clients in care, locked and secured in cabinets in the garage. The fire extinguishers throughout the facility are fully charged. LPA toured the outside grounds and there was (Annual Inspection continued on LIC9099C) ample seating with shade. There is one exit gate on the righ side of the houset that is self-latching and operational. Living room has books and various reading materials, games, and art activities for potential residents. Also LPA observed light exercise equipment and a basketball shoot out range for the residents. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with facility and a copy of this report LIC809, 809-C was read and provided to the facility.