Routine inspection·March 17, 2026

On 3/17/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced at this facility to conduct the annual inspection visit. LPA met with administrator, Jennylind Duran (AD), and stated the purpose of the visit. Overview : Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 6 elderly residents, up to 6 may be non-ambulatory. Hospice waiver for up to 6 residents. Facility does not manage residents’ cash resources. Facility does not have fire clearance for bedridden, delayed egress, and/or locked interior/exterior. Initial Observation: Present during today's visit were 6 residents in care with two staff on duty, S1 and AD. Physical Inspection : Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA inspected resident 6 of 6 bedrooms and 2 of 2 bathrooms. All bedrooms are single occupancy. Room temperature was maintained at 71 degrees. The hot water temperature was measured at 117 degrees Fahrenheit. Fire extinguishers were observed in the kitchen and were serviced on 2/26/26. Smoke and carbon monoxide detectors were observed throughout. {1 of 2} In the kitchen, the facility maintained at least a seven-day supply of non-perishable foods and a two-day supply of perishable foods. The LPA also observed insulin medications stored inside a locked refrigerator located in the office. One additional freezer was observed in the kitchen. Medications, sharps, cleaning supplies, and other dangerous items were observed to be locked and not accessible to residents in care. Outdoor area was inspected. LPA observed a covered patio and outdoor furniture for residents’ use. Ramps, fence, and exit gate were observed to be in good repair at this time. Walkways and ramps were observed to be unobstructed. Record Reviews: Review of 3 of 6 resident files was conducted, including but not limited to, review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. Advisory provided to obtain PRN Authorization for each resident. Medication reviews were conducted for 2 residents. Review of 3 staff files included but not limited to background clearance, first aid/CPR certification, and training. Emergency Procedures Plan and Infection Control Plan were reviewed. Facility conducts quarterly disaster drills; last drill was conducted on 1/7/2026. Advisory provided to review their plans at least annually. First aid kit, located in the kitchen, was reviewed and found to be complete. Documents Requested: LPA requested a copy of updated Liability Insurance Certificate, Resident Roster, LIC610, LIC500, and LIC308 to be emailed to arvin.villanueva@dss.ca.gov. Per the California Code of Regulations, Title 22, Division 6, Chapter1 & 6, no deficiencies were cited. Advisories were provided. Exit interview was conducted. A copy of the report was provided upon exit. {2 of 2}