Routine inspection·January 29, 2026

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Ishmael Siapco, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (10), a current census of (10). 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. Activities consist of puzzles, sing a-longs, and dominoes. 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 two (2) resident bathrooms measured between 110.4 and 112.2 degrees F. Four (4) resident’s bedrooms had beds, bed linen, chairs, dresser, storage space and sufficient lighting. The facility has sufficient linens, towels, and personal hygiene items for residents. The facility has posted in a common area, facility license, facility sketch, emergency telephone numbers, personal and resident rights, menu, CCLD complaint poster, and Ombudsman poster. Continuation on LIC – 809C: 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 not kept locked and inaccessible to residents in care, deficiency issued. Care & Supervision : Facility has 24-hour/7days a week care staff. One (1) Facility staff had an expired CPR certificate, technical violation issued. Medical Related Services : Resident’s medications are labeled and centrally stored in a locked cabinet, one (1) resident's medication was audited and random with discrepancies, deficiency issued. Record Review: Four (4) Staff files reviewed were observed to be complete, other than Staff #1 (S1) expired CPR certificate. Four (4) Resident files reviewed were observed to be incomplete, deficiency issued. Facility did not have an emergency disaster plan, deficiency issued. Facility has not conducted a disaster drill since December 2024, deficiency issued. Based on observations and record review technical violations and deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC 809, 809C, 809D, 9102) and appeal right were discussed and a copy was provided to Administrator Ishmael Siapco.