Follow-up on corrections·February 9, 2026

Licensing Program Analyst (LPA) Christina Valerio was at the facility on a subsequent visit for a complaint visit (Control Number 27-AS-20260209110822). Upon arrival, LPA Valerio rang the door bell twice and knocked on the door twice, but there was no answer. LPA Valerio contacted Licensee Adi Lina Tuiloma via cell phone who contacted staff on shift. Staff stated they were in the restroom when LPA was at the door. LPA Valerio was met by facility staff Mere. LPA Valerio informed Licensee the purpose of the visit. Licensee stated she was assisting with an appointment and thirty minutes away. LPA informed Licensee LPA will wait for her arrival. LPA was later met by Licensee. The licensee previously agreed during a Non-Compliance Conference on September 25, 2025, to have at least two caregivers on duty at all times. Today, only one staff member was present when LPA arrived. LPA Valerio observed one staff, Staff 1 (S1) on shift. According to an interview with staff, the second staff (S2) will arrive at 7:00 PM. Later, LPA Valerio interviewed Licensee Adi Lina. Licensee stated S2 is currently an on-call staff and not a regular staff. LPA Valerio reviewed the facility LIC 500, which is dated 12/01/2025. According the LIC 500, S2 was to be on shift with S1. Licensee stated the second staff member was supposed to be her; however, she had to assist with an appointment for her other licensed facility. LPA Valerio was provided an updated LIC 500 by Licensee Adi Lina during today's visit. Per California Code of Regulations (CCR), Title 22, a deficiency is being cited on the attach LIC 809 - D page. Licensee was previously cited on January 16, 2026 for having only one staff on shift. Due to the repeat violation, licensee was made aware that a civil penalty of $1000.00 will be assessed on today's date of February 9, 2026. Appeal Rights were provided. An exit interview was held, and a copy of this report was provided.