Routine inspection·December 4, 2025

On 12/4/2025, Licensing Program Analyst, Arvin Villanueva (LPA), arrived at this facility to conduct the annual inspection visit. LPA met with the Administrator, Bernadette Descargar (AD), and the Administrator Assistant, Mary Jan Mitchell (S1), 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. Facility has a hospice waiver granted for 6 residents. Facility does not have bedridden clearance. Additionally, facility does not have clearance for delayed egress and locked interior/exterior. Facility does not manage residents’ cash resources. Initial Observation: Present were 5 residents with 3 staff on duty. One resident is currently out of the facility. LPA observed required posters and facility license. Room temperature was at 74 degrees Fahrenheit upon arrival. Physical Inspection : Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA inspected 6 of 6 resident bedrooms and 2 of 3 bathrooms. LPA measured the hot water temperature was at 114 degrees Fahrenheit. Resident bathrooms were observed to be clean and in good repair at this time. Fire extinguisher was observed in the kitchen area and was last inspected on 1/22/2025. Smoke and carbon monoxide detectors were observed throughout. LPA observed centrally stored medications, toxins, sharp objects and other dangerous items were kept locked and inaccessible to residents in care. {1 of 2} In the kitchen area, LPA observed at least seven-day non-perishable and two-day perishable food supplies. Pantry was observed to be fully stocked with non-perishable food items. Proper storage of food items was observed. Kitchen refrigerator and freezer were maintained at regulatory temperature. The garage houses additional food supplies and chemicals were observed to be locked. Outdoor area was inspected. LPA observed outdoor furniture for resident use. Ramps were observed to be in good repair at this time. Emergency walkways were observed to be unobstructed. Fence and gate were in good repair. 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. Medication review was conducted for 2 residents. No issues were noted at this time. Review of 3 staff files included but not limited to review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. Administrator and Assistant Administrator have current Administrator Certificates. No issues were noted at this time. LPA also reviewed fire drill/disaster drill records; facility conducts quarterly drills. Documents Requested: LPA requested a copy of current Liability Insurance Certificate, LIC500, LIC308, and updated Dementia Care Plan to be emailed to arvin.villanueva@dss.ca.gov. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were cited. Advisories were provided. Exit interview was conducted. A copy of the report was provided upon exit. {2 of 2}