Post-licensing visit·January 23, 2026

On 1/23/2026, Licensing Program Analyst, Arvin Villanueva (LPA), arrived unannounced to conduct the Post-Licensing visit. LPA met with staff on duty, Omar Slypher (S1), and started the purpose of the visit. S1 notified the "company" of the visit. Present during this visit were 6 residents in care with one staff on duty (S1). Facility is a one-story home located in residential neighborhood. It is licensed to served up to 6 non-ambulatory residents. No clearance for bedridden, delayed egress, and locked exteriors/perimeter. Hospice waiver for 2 resident was granted. At this time, no residents in care are receiving hospice services. During this visit, LPA conducted a physical inspection of the facility. Inspection included, but not limited to, living area, kitchen, bedrooms, bathrooms, and outdoor spaces. All 6 residents were in their bedroom. LPA inspected bedrooms #1, #3, #4 and #5. Per fire clearance, room #5 on the facility sketch is a storage room. Room #4 is currently being utilized as a staff bedroom. Rooms #1 & #3 are double occupancy. 2 of 3 bathrooms were inspected. Advisory was provided to clean the cabinet under the sink in bath #1 on the facility sketch. LPA observed a piece of paper with black substance. LPA is unable to determine if it is mold. Hot water temperature was at 114 degrees Fahrenheit taken in both bathrooms. Room temperature was maintained at 75 degrees Fahrenheit. LPA observed the two fire doors to be propped open with door stopper placed at the bottom of the fire door. {1 of 2} For the outside area, ramps were observed to be in good repair at this time. The door of the storage shed at the back will need replacement, as the bottom right part of it is in disrepair. Inspection of the side exit gate, LPA observed the single-action latch has been broken and was replaced by a double-action locking mechanism by lifting and sliding the lever to unlock the gate. LPA reviewed 4 resident records, including those who have been discharged from the facility. LPA obtained copy of 2 resident files for further review. Based on today's visit, the facility is not in compliance with Title 22 Regulation, and the deficiency can be found on the LIC 809-D page. An immediate civil penalty is hereby assess in the amount of $500 for the violation of CCR Title 22 Section 87203 Fire Safety An exit interview was conducted with S1 and a copy of this report and appeals rights were provided to the facility. {2 of 2}