Routine inspection·December 8, 2025

On 12/82025 at 09:30AM, Licensing Program Analysts (LPAs) Eldin Serrano, Sarina Ramirez and Andrew Martinez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs met with Care Coordinator Araceli Soto and was granted entry to the facility. At the time of the visit there were twenty five (25) staffs present, and one hundred thirty three (119) residents present. The facility is a eighty four (84) bedrooms, eighty four (84) bathroom facility with a kitchen/dining area, living room/activity room, TV room. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of eighty six (86) ambulatory, one hundred fifty (150) non ambulatory, fifteen (15) hospice care and 15 maybe bedridden resident and the current census is one hundred nineteen (119) residents. LPAs were accompanied by care coordinator to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPAs inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. LPAs measured and observed the water temperatures in the bathroom for room #107 to be at 107.4 degrees Fahrenheit, Room# 223 to be at 110.1 degrees Fahrenheit, Room #303 to be at 117.5 degrees Fahrenheit . The facility is equipped with operating smoke detectors and carbon monoxide detectors. ***Continuation in LIC809C *** Fire extinguishers were observed on every floor at the facility. Posters such as personal rights, the CCLD complaint poster, ombudsman poster, labor laws, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine Room with the resident’s medications locked. LPAs observed complete first aid kit and first aid book at the facility. Food Service: Seven (7) days’ supply of Non-perishable foods and two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The Administrator was not present in the facility at the time of the visit but observed the schedule with enough hours to appropriately manage the facility. Record Review: LPAs reviewed five (5) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans.LPAs reviewed six (6) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings with tuberculosis (TB) Test result. LPAs observed staff #3 (S3) do not have the required tuberculosis (TB) test and TB test result. Technical violation issued. Medications/Medication Administration Record (MAR) were audited for 5 residents. LPA observed that resident #1,#2 (R1, R2) has their medication still in the bubble pack and not dispensed. Deficiency issued. Based on the observations made during today’s visit, one (1) deficiency and one (1) technical violation were issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C, LIC809D and LIC9102 forms, and Appeal Rights were discussed and provided to Care Coordinator Araceli Soto.