Routine inspection·March 25, 2026

On 03/25/2026, Licensing Program Analyst (LPA Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Staff-Marisela Figueroa and was granted entry to the facility. At the time of the visit there was one (1) staff present, and Three (3) residents present. Three(3) residents were out in the community. Facility Manager Amirr Younes arrived during the visit. LPA explained the purpose of the visit to Facility Manager Amirr Younes. The facility is a nine (9) bedroom, three (3) bathroom home with a kitchen/dining area, living room, activity room and laundry area. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) residents of which six (6) can be non-ambulatory residents. The facility has two (2) Hospice Waiver. The current census is two (2) residents. Four residents were out in the community for Innovage and other services. LPA was accompanied by Staff 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 Division (CCLD). LPA observed no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, and storage space, lamps, and chair. Moreover, LPA observed that bathrooms were clean, and appliances were operating appropriately. LPA observed grab bars and non-skid mat in the resident bathrooms. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCLD complaint poster, Ombudsman poster and the disaster plan were posted in a common area. ***Continuation in LIC809C *** LPA observed cleaning solutions, bleach locked in the cabinet and not accessible to residents in care. There was a designated storage space for resident/staff files. There is a cabinet with the resident’s medications locked in the medication room. Food Service: Seven (7) days non-perishable and two (2) days perishable food supply observed at the facility. Care & Supervision: The facility has an administrator and house manager. LPA observed sufficient number of staff to provide care and supervision to the residents in care. LPA reviewed three (3) resident files for admission agreements, updated physician reports, and needs and services plans. Medication Audit were completed for three (3) residents, no issues. LPA Singh reviewed two(2) staff files for criminal background check, Health screening, Tuberculosis(TB) test result, Required training, CPR. First Aid Certification. no issues. Liability Insurance valid through 09/26/2025-09/26/2026. Fire Drill conducted on 12/30/2026. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, Chapter 8 of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC 809 C were discussed and provided to House Manager Amirr Younes.