Routine inspection·November 7, 2025

Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with Staff, Jusuf Audhy Dajoh and introduced self and stated the purpose of the visit. Audhy notified the Licensee, Sevi Turangan over the phone about the LPA's purpose of the visit and Licensee arrived shortly after. The facility has 6 bedrooms, 2 bathrooms, kitchen, dining area, living room, laundry, backyard, and attached garage. LPA completed a walk through of facility, review of records and medication audit. Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 78 degrees fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected resident bathrooms; bathrooms appliances were found functional. Water temperatures tested at 109 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguisher and first aid kit. Posters such as; the personal rights, emergency disaster plan, CCL complaint poster and ombudsman were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to residents. There was a designated storage space for resident/staff files. Medications was observed locked and inaccessible to residents. There is no swimming pool, bodies of water, firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service : Non-perishable and perishable food supply is sufficient for residents in care. Dishes, cups, and utensils were also stored properly. Yards/Outside: One shaded patio, side gate with self-latching handle on the left and right side of the house that leads into the backyard and one shed used for storage. Record Review: LPA reviewed all resident files for admission agreements, updated physician reports, and needs and services plans. LPA observed that the residents appraisals have not been reviewed/updated annually. Technical violation issued. LPA observed that a bedridden resident was placed in a nonambulatory bedroom. Deficiency with civil penalty issued. LPA also reviewed personnel and administrator files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings. LPA observed that the only staff present upon arrival had an expired CPR certification. Deficiency issued. Medications were audited at random and discrepancies were found. LPA observed that the medication log was not updated with the correct medications and dispensing initials were missing. Deficiency issued. LPA reviewed the facility's insurance coverage, emergency disaster plan, infection control plan and emergency drills. LPA observed that the infection control plan was not reviewed/updated annually. Deficiency issued. LPA observed that the emergency disaster plan was not reviewed/updated since 11/5/24. Deficiency issued. LPA observed that the facility did not have emergency kits. Deficiency issued. LPA observed that the facility is not maintaining proof of the quarterly drills before October 2025. Deficiency issued. Deficiencies, technical violation and one civil penalty were cited during this visit. An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102TV, LIC421IM and appeal rights were discussed and copies were provided to Licensee, Sevi Turangan.