Routine inspection·April 23, 2026

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Thelma Montebon, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (30), a current census of (18). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility does not have a swimming pool or similar bodies of water. All Three (3) facility houses have sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities. The facility (Houses 1,2,3) are equipped with operating smoke detectors and carbon monoxide alarms, Fire Marshall conducted a visit on 03/17/26 with no deficiencies. Quick response fire protection also conducted an annual sprinkler test on 3/16/26 with no deficiencies. The facility has working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. In House #1 the hot water temperature in three (3) resident common bathrooms measured between 106.1 to 107.2 degrees F. Seven (7) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. In House #2 the hot water temperature measured 118 degree F, three (3) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. Continuation on LIC – 809C: In House #3 the hot water temperature measured 110 degree F, three (3) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility (House #1) has posted in a common area, Resident Rights, Staff Schedule, Monthly Menu, Monthly Activities, facility sketch, Emergency disaster plan with emergency telephone numbers, CCLD complaint poster, and Ombudsman poster. Food Service: Facility kitchen and dining area are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Care & Supervision : Facility has 24-hour/7days a week care staff. Facility staff working have current CPR/first aid training and background cleared. Medical Related Services : Resident’s medications are labeled and centrally stored in a locked cabinet. Four (4) residents medication were audited and administered per physicians orders, medication is being pre-poured too early, Technical Violation issued. Record Review: Four (4) Staff files reviewed were observed to be complete. Four (4) Resident files reviewed were observed to be complete. Last disaster drill conducted on 2/27/26. Based on observations and record review one (1) technical violation was discussed and no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report along with LIC 9102 was discussed and provided to Administrator Thelma Montebon at the conclusion of the visit.