Routine inspection·October 10, 2025

On 10/10/2025, Licensing Program Analyst (LPA) Cynthia Tamayo made an unannounced visit to this facility to conduct an annual inspection. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator. LPA met with Fernando Paramo (Administrator certificate # 7007018740, expiration date of 12/27/26) and a brief interview followed. The facility is licensed to serve adults age range 60 and over. Approved for six (6) non-ambulatory. Hospice approved for six (6). The current census is 5. LPA and DFA inspected the physical plant inside and outside to ensure there were no health and safety concerns. LPA observed the facility to be free of odor, clean and in good repair at this time. LPA observed required furniture and lighting throughout the facility. LPA observed the common areas including the kitchen areas, dining area. LPA 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. Centrally stored medications , toxins, and sharp knives kept locked and inaccessible to residents. The facility temperature inside the facility measured between 68 and 78 degrees Fahrenheit. All resident bedrooms and found that they each had the required furniture, furnishings, and lighting to be in compliance at the present time. Continued on 809-C The fire extinguisher was last inspected 3/14/2025. The hot water measured 111.5 degrees and was in compliance at the time of inspection which is between 105 and 120 degrees Fahrenheit title 22 regulations This LPA then conducted an inspection of the exterior of the facility. There were no bodies of water present and the back yard was completely fenced in. There was a shaded area with furniture for all residents to use. All windows and screens were in good repair at the time of inspection. A review of the facility perimeter fence, side gates, and exits was also conducted. LPAs reviewed 4 staff files include review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. LPA reviewed the resident files for the 5 residents in care to ensure that they contained the required documents. 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, LIC 9020 Resident roster. According to the California Code of Regulations, Title 22, no deficiencies were cited during today's visit. A copy of this report was provided and an exit interview was conducted.