Routine inspection·January 15, 2026

On 1/15/2026 Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to complete the annual inspection. LPA met with Caregiver Larissa Hines for a Residential Care Facility for the Elderly (RCFE) for five (5) non-ambulatory residents, one (1) resident may be bedridden, and (2) hospice waiver. Current census is two(2). LPA Farlow introduced self and explained the purpose of the visit. Caregiver notified Administrator Brett Powell of LPA's arrival, and later arrived during the visit. The caregiver, provided LPA with a space to work and conducted a tour of the facility. The facility has four (4) bedrooms and two (2) bathrooms. There are three (3) residents bedrooms, and (1) bedroom for the caregiver, two (2) bathrooms, a kitchen, a living room, a dining area, a laundry room, a backyard, and an attached garage. LPA toured the interior and exterior areas of the facility. The following were inspected: Resident Bedrooms and Bathroom : All bedrooms have the required bedding and furniture, such as clean mattresses/linens, mattress covers, night stands, dressers, chairs, and lighting. The bathrooms appliances were operating in safe and sanitary condition. The water temperature was measured by LPA, at 128.9 and 122.5 degrees F. Licensee did have signs posted "caution hot water" in the bathroom and kitchen. Kitchen and Dining Areas : Utensils and dishware are in good repair and readily available for residents in care. Kitchen appliances and counter tops were free of debris and in good repair. The chemicals were locked underneath the kitchen sink. The sharps were locked in the kitchen cabinet. Facility has sufficient amount of perishable and non-perishable food supply for residents in care. Medication: The medications was locked and secured in the hallway closet. LPA audited 2 out of 2 residents MARs and Centrally Stored medication log. LPA observed the facility uses an app for charting which was not completed for the 8am meds, and the Centrally Stored Medication Log had medications that were not logged or medication that was in the secured container but not listed on the MARs and not destroyed. A deficiency was cited. Laundry Room/Linens and Hygiene Supplies: An adequate supply of linens and hygiene supplies were available for each resident. The laundry room contains chemicals and was securely locked. Backyard : There are no bodies of water in the backyard. There is a covered area with seating for the all the residents. All passageways were free from obstruction. Facility Postings, Fire extinguisher, First aid : There are two (2) charged fire extinguishers in the facility. LPA observed the fire extinguisher was last inspected on 3/13/2025. LPA observed operating smoke detectors and carbon monoxide alarms. Administrator stated they complete a fire/emergency drills quarterly. The home does not have any firearms and or ammunition. LPA observed required postings including the visitation polices, emergency/disaster contact numbers, complaint procedures, labor laws, and personal rights. Record Review: LPA reviewed two(2) out of two(2) residents files for Admission Agreements, Physician Reports, Needs and Services Plans, Identification and Emergency contact sheet. LPA observed resident file complete and maintained. LPA reviewed two (2) staff files, for CPR/First aid training, Health Screening, Personnel Records, Criminal Records Clearances, Background Statements and Fingerprinting, Annual Training. LPA observed that 1 out of 2 staff file were incomplete and missing the health screening, and TB test results. LPA observed the licensee did not update or review the LIC610E (Emergency Disaster Plan for Residential Care Facilities For The Elderly and Infection Control Plan. A deficiency cited. LPA observed a complete first aid kit. The facility has a working telephone for resident use. Based on the observations made during today’s visit, three 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 was discussed and provided to Administrator Brett Powell.