Routine inspection·November 25, 2025

Licensing Program Analyst (LPA) Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Ghislane Ramasar and was granted entry to the facility. Licensed capacity is (29) current census (24). LPA was accompanied by Administrator Ghislane Ramasar to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed slip-resistant mat going into bathroom shower but not slip-resistant mat inside of shower floor. Technical violation will be given. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated office for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. LPA observed facility emergency exit gate to be locked. Deficiency will be issued. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. LPA observed kitchen refrigerator to be locked. Deficiency will be issued. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (8) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA reviewed (8) resident medications. **Continuation on LIC809C** LPA observed for Resident #2 (R2) and Resident #7 (R7) PRN administration was not properly documented in Medication Administration Record (MAR) with date, time, dosage taken, and resident's response. Deficiency will be issued. Additionally, LPA also reviewed (6) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. No issues were observed. Based on the observations made during today’s visit, deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) and (LIC809D) was discussed and provided to Administrator Ghislane Ramasar. Along with copy of appeal rights.