Routine inspection·April 16, 2026

On April 16, 2026, Licensing Program Analyst (LPA), Jarred Torres, arrived at the facility unannounced to conduct an annual inspection and met with House Manager, Ahnna Hayes. The Administrator, Daniel Blas, was unable to come to the facility due to transporting a new mattress from another city to the facility. A facility file review was conducted at the regional office and additional records were requested and reviewed at the facility. The facility is licensed for six elders and was operating at a census of five elders. The LPA toured the facility and made observations pertaining to the annual inspection. The LPA inspected the facility inside and outside. There were no obstructions on the indoor and outdoor passageways at the time of this visit. Additionally, there were no bodies of water on the premises. During the tour of the premises, the LPA observed the facility phone to be operable. The facility's phone number is 951-999-9212. The LPA observed the residents' bedrooms which were equipped with the required furniture as stated in Tittle 22 of the California Code of Regulations (CCR). The furniture in all areas of the facility was observed to be in good condition. The facility's appliances were observed to be operational at the time of this visit. Required postings regarding safety, personal rights, and emergency exits were posted in the home. Sharp items were kept locked and inaccessible to residents in care. The facility's cooling and heating system is operational and the air temperature was at 73 degrees Fahrenheit (F) and the hot water was measured at 119 degrees F. Continued on LIC 809-C... The LPA observed the medications to be locked and inaccessible to clients in care. The medication supply was sufficient for the five clients in care. There were no discrepancies with the centrally stored medications. In the kitchen, the food supply of non-perishable and perishable foods consisted of, but not limited to, bread, rice, pasta, frozen meats, vegetables, water, and fruits. The facility goes grocery shopping once per week and maintains an appropriate food supply for the five clients in care. Adequate staff was present for the supervision of the five residents in care. The facility has a designated area for storing activity supplies and activities are conducted in the living room. Telephone numbers and floor plans were posted in the facility. The Administrator has a current administrator's certificate on file. Client files and staff files were reviewed and no deficiencies were observed. Their files were stored in a secure location. The LPA reviewed the emergency disaster plan and fire clearance at the regional office. The last fire drill was on March 1, 2026. The fire alarms and carbon monoxide detectors were tested and operational. The fire extinguishers were in good condition and were inspected on April 8, 2025. The emergency disaster plan meets the department's standards. The LPA inspected the bathrooms and observed the hand washing stations to be stocked with soaps, bath tissue, and single-use hand towels. Furthermore, the bathrooms were free of dust and debris. Additionally, the facility has an approved infection control plan in their files. An exit interview was conducted and this report was reviewed and provided to House Manager, Ahnna Hayes, whose signature on this form confirms receipt.