Routine inspection·February 19, 2026

On 04/19/26, Licensing Program Analysts (LPAs) Aziz Faizi and Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPAs were greeted and granted entry by caregiver James Aliviado who was informed of the purpose of the visit. Licensee Bobbie Barr was informed of the purpose of the phone via phone call The facility is a one-story home with four (4) bedrooms, two (2) bathrooms and one (1) staff room including an attached garage. There are no pools or known firearms on the premises. LPAs toured the facility's exterior and observed outdoor pathways were free of obstructions. Outdoor shaded seating area is available for the clients in care. The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The living room was observed to have board games and other activities. LPAs toured the kitchen and observed the facility has a two-day supply of perishable foods and more than a seven-day supply of non-perishable foods, which are stored in a safe and healthy manner. LPAs observed knives and sharp instruments secured in locked kitchen cabinets. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 107.1°F. Fire extinguisher located in the kitchen meeting department's requirements expiring 11/7/2026. During the visit, LPAs observed one staff present to supervise clients. The administrator holds a current administrator’s certificate expiring 1/15/2028. LPAs reviewed files for one (1) staff member, confirming criminal clearances, updated training, and CPR/First Aid certification. All resident medications were securely locked. LPA reviewed medications for two (2) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. LPAs reviewed the facility’s emergency and disaster plan, including documentation of the last fire/earthquake drill conducted on 01/2026, which met department requirements. All facility exits were clear of obstructions. LPAs reviewed Resident 1's (R1's) signed physician's report dated 10/08/2025 documenting R1 is bedridden. LPAs also reviewed R1's signed admission agreement dated 10/09/2025. Licensee Bobbi Barr and Caregiver James Aliviado were interviewed and confirmed R1 is bedridden. Licensee was under the impression they had a fire clearance for two (2) bedridden residents. However, the facility has a fire clearance for six (6) non-ambulatory residents only and an approved for a hospice waiver for two (2). Licensee expressed interest in submitting a change of ambulatory status application to Community Care Licensing to request a fire clearance for a bedridden resident to allow R1 to remain in the facility. Based on the aforementioned, the facility was cited for California Code of Regulations (CCR) Section 87202(a)(2) for R1 who is bedridden, while the facility is not approved to accept bedridden residents by the local fire jurisdiction and a civil penalty was assessed. An exit interview was conducted, during which this report, Confidential Names list (LIC 811), LIC-809D, LIC 421IM, and Appeal Rights were reviewed over the phone with licensee and provided to Caregiver Aliviado.