Routine inspection·November 10, 2025

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required comprehensive annual inspection. LPA met with Administrator, Caroline Densen, was granted entry to the facility, and discussed the purpose for the visit. The facility is a Residential Care Facility for Elderly (RCFE) with a license capacity of (10), and a current census of (5). LPA conducted a general inspection of facility, which included, but was not limited to, the following: Operation/Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor space for resident activities. The facility is maintained at a temperature of 76 degrees F. Resident bedrooms were furnished with beds, bed linen, night stands, chairs, and lighting. Resident (3) bathrooms fixtures were operating properly. The hot water temperatures in the bathrooms measured at 106 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms, fully charged fire extinguishers, laundry equipment, emergency water/food, hallway lighting and telephone service. The facility has posted in a common area Community Care Licensing complaint poster, Ombudsman poster, facility license, emergency telephone numbers, resident council, and theft/loss policy. The facility staff schedule reflects 24 hours a day, 7 days a week staff coverage. Food Service: Non-perishable and perishable food supply was sufficient for number of residents in care. Cups, plates, and utensils were sufficient for number of residents in care. The facility’s refrigerator and freezer were operating properly. **continued on LIC809C** Health Related Services: The facility maintains record of resident’s medications and medications were centrally store in a locked cabinet. The facility maintains a first aid kit with manual. Record Review: Resident files were reviewed for admissions agreements, physician’s reports, appraisals, and hospice care plans. Staff files were reviewed for First Aid/CPR certifications, criminal record clearances, annual training, and health screenings. The Administrator’s certification, facility’s insurance and emergency drill training are up to date. The following deficiencies were observed and cited per Title 22, Division 6, of the California Code of Regulations: LPA observed in two (2) bathrooms chemicals/cleaning solutions kept unlocked and accessible to residents in care. LPA observed in facility livingroom, the ceiling fan was covered with dust. An exit interview was conducted where this report (LIC809) was discussed and a copy provided with appeal rights to Administrator Densen at the conclusion of the visit.