Routine inspection·October 9, 2025

On 10/9/25, Licensing Program Analysts (LPAs) Cynthia Tamayo and Arvin Villanueva arrived at this facility unannounced to conduct an annual inspection visit. LPAs met with Executive Director, Damion Anderson (ED) and explained the purpose of the visit. The facility is a Residential Care Home for the Elderly, approved for age range 60 and over. Approved for 61 non-ambulatory, of which 10 may be bedridden. Approved hospice waiver for 10. ED holds Administrator Certification #7022031740 and expires 3/25/2026. LPAs and ED inspected the physical plant inside and outside to ensure there were no health and safety concerns. LPAs observed the lounge area, lobby, and common areas. In addition, the kitchen areas, dining area, and activity room were toured. Medication room was toured. Kitchen was toured for adequate food supplies and storage. A review of the facility perimeter fence, side gates, and exits was conducted. A review of the resident rooms and bathrooms were conducted. LPAs observed the facility to be free of odor, clean and in good repair at this time. LPAs observed required furniture and lighting throughout the facility. LPAs observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days maintained on the premises. Refrigerators and freezers were observed to store adequate amount of food. Temperatures for refrigerators and freezers were observed to be within regulatory standard as per observation and review of temperature log. Report continued on 809-C The hot water temperature was measured at 117.3 degrees Fahrenheit in 4 sample resident rooms. The room temperature inside the facility measured between 71 and 75 degrees Fahrenheit. Centrally stored medications, toxins, and sharp knives kept locked and inaccessible to residents. LPAs observed the fire extinguisher(s) were up to date and were last serviced on 6/25/25. Smoke and carbon monoxide detector(s) in the facility were in good repair. First aid kit was checked and are complete. Review of 7 resident files include review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Medication review of 3 residents include review of physician orders for over-the-counter medications. No issues were noted at this time. LPAs reviewed 5 staff files include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. No issues were noted at this time. Facility conducts quarterly disaster/evacuation drill and last drill was on 7/1/2024. Facility has a dementia care plan and infection control plan. The following documents were collected during today's visit: LIC 308 Designation of Administrative Responsibility, Proof of Current Liability Insurance, Resident Roster, LIC 500 Personnel Report and Staff Schedule for October 2025 The following documents were requested during today's visit: Updated infection control and disaster plan Per California Code of Regulations, Title 22, no deficiencies were cited during today's inspection. An exit interview was conducted, and a copy of this report were left at the facility.