Routine inspection·July 22, 2025

Licensing Program Analyst (LPA), Armando Perez made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was granted entry by staff to conduct the inspection and met with Executive Director Valeria Garcia and Administrator Liliana Moreno. The LPA informed Valeria and Liliana of the purpose for the visit. The inspection included the following: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility consists of five (5) building structures. The facility has a kitchen, dinning area, laundry room, and a courtyard and with sufficient seating and space for activities. The five villas are maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured within regulation at multiple tested locations. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. An Activities calendar and menu is available and posted at the facility. The LIC 610, emergency disaster plan and infection control plan is maintained. There are no firearms at this facility and no bodies of water observed. LPA began review of client records. eight (8) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed two out of eight files to be missing the Admissions agreement, medical consent form and personal rights. A deficiency will be cited. Continued on LIC 809-C. LPA began review of employee records- eight (8) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification; expiration date of 12/12/2026. LPA observed 3 out of eight employee records missing the health screening and TB test. A deficiency will be cited. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. Medication are centrally stored. There is a locked room in villa four allocated for medication storage. Centrally stored medication and destruction logs are maintained. Medications reviewed appear to have been dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. Smoke detectors and carbon monoxide detectors are a combined single unit and were tested and found to be operational. Fire extinguishers were previously serviced on, 09/05/2024. Fire drills are conducted quarterly at the facility with the last drill on 07/09/2025. LPA observed the emergency drill record to be missing the time it was conducted and appeared to not include all staff. A technical violation will be documented. Based on the information received during this visit today in the areas reviewed, there are deficiencies that are being cited per Title 22, Division 6 of The California Code of Regulations. This LIC 809 report was reviewed with the facility representatives and a copy was provided.