Routine inspection·January 26, 2026

Licensing Program Analysts (LPAs) Sarina Ramirez and Eldin Serrano made an unannounced visit to the facility to conduct a required annual inspection. LPAs met with House Manager Rico Paguio, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (20), a current census of (11). LPAs 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 is enclosed and gated, however both sides remain locked, deficiency issued. The facility has sufficient lighting and is maintained at a comfortable temperature at 73 degrees F. The facility has sufficient indoor and outdoor space for resident activities. The facility is equipped with operating smoke detectors/carbon monoxide alarms last checked by Pro Security Systems on 01/15/26, working laundry equipment, and telephone service. Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in three (3) bathrooms measured between 105.4 and 113 degrees F. Seven (7) 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, administrator certificate, facility sketch, emergency telephone numbers, monthly menu, monthly activities, personal rights, Admissions Agreement, 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, however the facility does not have emergency food supply, deficiency issued. Chemicals were kept locked and inaccessible to residents in care, however the sharps were not locked, deficiency issued. Care & Supervision : Facility has 24-hour/7days a week care staff. Medical Related Services : Resident’s medications are labeled and centrally stored in a locked cabinet. Four (4) residents medications were audited at random, R1's medication was being signed off as given, however the medication was not taken by R1, deficiency issued. Record Review: Five (5) Staff files reviewed were observed to be incomplete, Administrator's file was incomplete; deficiency issued. Four (4) Resident files reviewed were observed to be complete. Based on observations and record review technical assistance/violations and deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report along with LIC 809D, LIC 9102, and Appeal Rights were discussed and provided to House Manager Rico Paguio at the conclusion of the visit.