Routine inspection·January 26, 2026

Licensing Program Analysts (LPAs) Yolanda Delgado and Toni Nwala arrived unannounced to conduct an annual inspection. Upon arrival LPA's was greeted by facility staff and granted entry by Juan Cornell. LPA's began inspection with introduction, visit purpose and provided Juan with LPA's identification and business card. Resident record review began- Four (4) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal, needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. This facility is meeting documentation requirements. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured 105.0 degrees F. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals in the home. All indoor passageways are free of obstruction, outdoor passage way is not free from obstruction. A locked area is provided for medications and sharp objects. LPA verified there is a telephone working at this location. Food Service- Food supply meets the requirement of one week supply of nonperishable and 2 day supply of perishables food on hand. A sample menu is provided, foods are dated to assure safety. Food prep areas are clean and organized. (Continued on next page) (Continued from Page 1) LPA began review of employee records- Three (3) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application, health screening-1 missing and TB test results-1 missing, criminal record statement, employee rights, training verification. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the clients in care. Administrator certification has been renewed as of 12/5/2025; expires 12/13/2027; Certificate is pending to be received. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers was last serviced 6/11/2025. The facility is conducting emergency disaster drills. The last disaster drill was conducted on 12/21/2025. Based on the information received during this visit today, there are 1 deficiency and a technical advisory is being cited per Title 22, Division 6 of The California Code of Regulations. This report, LIC809-D, Appeal Rights was reviewed with and copies provided to the facility representative at the time of the exit interview.