Routine inspection·December 12, 2025

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Marsie Marcos, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (9), a current census of (6). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following: Physical Plant/Environment: Indoor and outdoor passageways are free of obstruction. The facility does not have a swimming pool or similar bodies of water. The facility has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities. The facility is equipped with operating smoke detectors/carbon monoxide alarms, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in resident bathrooms measured between 106 and 110 degrees F. Resident bedrooms had beds, bed linen, chairs, dressers, storage space and lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, administrator certificate, activity schedule, personal rights, facility sketch, emergency disaster plan and telephone numbers, menu, CCLD complaint poster, sample of facility's admissions agreement, and Ombudsman poster. During the inspection of the facility, LPA observed a unknown male individual sitting outside near the front side of the facility. LPA asked Administrator who the person was. Administrator stated that they were the spouse of the one of the caregivers. After inquiring for more information, the Administrator disclosed to the LPA that they hired the individual/staff #1 as a caregiver but their criminal record clearance is still pending and is temporarily residing at the facility. Food Service: Facility kitchen and dining area are maintained clean. The facility has sufficient non-perishable and perishable food supply for residents in care. Sharps and chemicals were kept locked and inaccessible to residents in care. Care & Supervision : Facility has 24-hour/7days a week care staff. Facility staff have current CPR/first aid training. Medical Related Services : Resident’s medications are stored locked. LPA's review of resident medication records, reveals that Resident #1(R1) still had three (3) of today's (12/12/25), morning medications in the bubble pack; however, staff initialed that the (3) medications were administered in the morning. Administrator informed LPA that medication may have been missed due to the way the medication was stored and may have been separated from the other AM medications. Record Review: Three (3) resident records were reviewed for admission's agreements, appraisals, and medical assessments. Review of three (3) staff files reveals the Administrator, Staff #2(S2), Staff#3(S3) did not have a health screening which indicates that that they are physically qualified to perform their job duties and signed by examining physician. Deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. Civil penalties have been accessed for have not having a criminal record clearance for S1 prior to them residing and/or working at the facility. An exit interview was conducted, and this report was discussed and provided with appeal rights to Administrator Marsie Marcos.