Routine inspection·April 22, 2026

On 4/22/2026 Licensing Program Analyst, LaVette Farlow, (LPA) arrived at the Alta Loma Gardens Residential Care #1, Residential Care Facility for the Elderly unannounced, to conduct the Annual Inspection. LPA met with Administrator, Ana Margarita Pleitez; introduced self and stated purpose of the visit. LPA was invited inside facility and provided space to work. The current census is 6. The facility is licensed and approved for 6 non-ambulatory residents, 1 bedridden and Hospice Waiver for 4 residents. During the visit, LPA was accompanied on a tour of the facility and observed the following: Physical Plant: The facility is maintained at a comfortable temperature. Pathways inside the facility were free of clutter and obstructions. The common areas such as Living and Dining areas provide adequate seating and lighting. Resident Rooms included adequate lighting, seating, beds with required linens, night stands and appropriate storage. Resident Bathrooms contained adequate paper supplies, hand soap, non-slip materials and operable appliances. Water temperature was tested and observed at 121.3, 121.2, 126.2 and 124.2 degrees F. The facility does have a notice posted caution hot water, in the residents restroom. The facility is equipped with operating smoke detectors and carbon monoxide alarms. LPA observed two fully charged fire extinguishers. At 10:38 AM, LPA observed that the first bathroom on the right side hallway under the sink had cleaning supplies that were not secured and accessible to residents in care. A Deficiency cited. LPA did observe a lock cabinet in the kitchen under the sink with toxins, sharps, and other dangerous items kept secure inaccessible to residents in care. The facility food supply was observed in good standing and sufficient for the amount of residents in care. Dishes, cups, and utensils were also observed and stored properly. Posters such as: Facility License, Facility Sketch, Long Term Care Ombudsman, See Something Say Something, Theft and Loss Policy, Administrator Certificate, and Resident Rights were posted in a prominent place in the facility. LPA observed Medications are kept secure and inaccessible to unauthorized individuals inside the facility kitchen cabinet. Yards/Outside: One shaded patio, with sufficient number of chairs for residents in care. The backyard is free of any bodies of water. All outdoor pathways were free of obstructions. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. LPA observed that 4 out of 4 staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed 3 out of 3 resident files for admission agreements, physician reports, and needs and services plans. LPA observed 1out of 3 residents were missing the physician report. A Technical Violation issued. LPA reviewed 3 staff files for Criminal Background Clearance, Health Screening, TB test results, training requirements, and CPR/First Aid Certificate. LPA observed 1 out of 3 staff was missing a health screen, but the personnel record did have the TB test results. A Technical Violation Medications were audited at random and LPA observed the MARS is accurately maintained. Also, LPA reviewed the facility's files for insurance coverage, emergency disaster plan, infection control plan and emergency drills. LPA observed the facility is not maintaining Liability insurance coverage, and the Emergency Disaster Plan (LIC610E) was not reviewed and update. A Deficiency and Technical violation issued. During todays visit Two deficiencies, and three technical violation, were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102TV, and appeal rights were discussed and copies were provided to the Caregiver LaVonne Brinkley.