Routine inspection·July 25, 2025

Licensing Program Analyst's (LPA) Edith Conchas and Eldin Serrano made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA's met with the licensee, Caroline Armstrong and was granted entry to the facility. The facility is a Residential Care Facility for Elderly (RCFE) licensed capacity for six (6). The current census is four (4). LPA's was accompanied by the licensee 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 of 78 degrees Fahrenheit. Water temperature measured at 116 degrees Fahrenheit. LPA's 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's observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating fire extinguishers, smoke detectors and carbon monoxide combination alarms. Posters such as personal rights, CCL complaint poster, CCL license, ombudsman, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for residents/staff files. Medications were kept in inaccessible to residents. LPA's observed the facility did not have a First Aid manual. A deficiency issued. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. LPA's observed facility is not equipped with a 72 hour emergency food supply for residents, a deficiency was cited. ****Continued 809-C**** Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. LPA observed one (1) staff member working in the facility have criminal record clearance through the department. Record Review: LPA reviewed (2) residents files for admission agreements, updated physician reports, and needs and services plans. LPA observed there was no updated and signed physician's report for two (2) of the residents. Deficiency issued. LPA's also reviewed (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. LPA's observed facility did not have a medication log to track medication administered to residents. A deficiency issued. . Based on the observations made during today’s visit, four (4) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C, LIC809D and appeal rights were discussed and provided to Licensee, Caroline Armstrong. .