Routine inspection·November 10, 2025

Licensing Program Analyst (LPA) LaVette Farlow, arrived at MJ Senior Homecare Services LLC, to conduct an unannounced visit for the annual inspection. LPA was greeted by licensee, Jenelle Wang. LPA Farlow introduced self and stated the purpose of the visit. The facility licensed for a capacity of 6 residents (4) non-ambulatory residents and (2) bedridden residents. LPA Farlow toured the facility inside and outside and observed the following: Structure: Facility is a one story house with (4) resident bedrooms, (2) resident bathrooms, office/staff area, living room, dining area, kitchen, pantry, backyard, and attached garage. Heating/Cooling System: Central heating and air conditioning system installed with a central panel located in the hallway to control entire house. The facility maintained a comfortable temperature of 72 degree Fahrenheit. Bedrooms: One bedroom accommodates two non-ambulatory residents, two bedrooms accommodates one non-ambulatory resident in each room, and one bedroom accommodates two bedridden residents on the far right side of the house. Bathrooms: The resident bathrooms have grab bars, working toilet, wash basin, and shower with an adequate supply of toilet paper and soap. Kitchen/Laundry: An adequate supply of dishes, glasses, utensils, pots, and pans were observed. Knives, sharps, detergent, and chemicals are stored in locked cabinets/office. There was a pantry stocked with non-perishable food and perishable food found in the refrigerator. LPA observed the stove to be operational. Refrigerator/freezer were in working condition. Water tested in the bathroom faucet measured at 118.0 and 119.4 degrees Fahrenheit. A functional washer and dryer are located inside the garage. Living/Family room: There was a furnished living room with reading books, puzzles and a TV observed. Linens and Hygiene Supplies: An adequate supply of linens and hygiene supplies stored in a closet. Yards/Outside: There is an enclosed Koi Pond, fruit trees, a shaded patio with seating area, two sheds on the left side of the house and a self-latching handle gate on the left side and right side of the house that leads into the backyard. All outdoor pathways were free of obstructions. There are no firearms, ammunition, swimming pool on the grounds. Emergency Phone Numbers, and Exit Plan: Facility sketch, visiting rules, and personal rights were observed posted by the hallway/entrance. General items: The smoke and carbon monoxide detectors were tested and are operable. There was two fully charged fire extinguishers observed. Resident/Staff records stored inside the locked office. First Aid kit with required components, and a locked area for medication storage was observed. Facility files: LPA reviewed two (2) residents file for Admission Agreement, Needs and Service Plan, Physician Report, and MARS. LPA observed that two (2) out of two (2) resident was missing a Needs and Service Plan. A deficiency sited. LPA reviewed two out of two staff folder for Criminal Background Clearance, Health Screening, TB test result, Training, and CPR/First Aid Certificate. LPA observed that two (2) out of two (2) staff were missing one or more of the following items, Health screening, training, TB test results, and CPR/First Aid Certificate. A deficiency cited. LPA conducted a random audit of two (2) residents MARS and observed the MARS was missing signatures for several days and or one medication was not listed on the MARS. A deficiency sited. LPA observed the facility folder for the Personnel Report, Resident Roster, Liability Insurance, Emergency Disaster Plan, and Infection Control Plan. LPA observed the Personnel Report, Resident Roster, Emergency Disaster Plan and Infection Control Plan were not available for review and or had not been reviewed annually. A technical violation cited. Based on the observations made during today’s visit, three (3) deficiencies and two (2) technical violation were cited per Title 22, Division 6, of the of the California Code of Regulations. A copy of this report LIC809, LIC809C, LIC809D, and appeal rights were discussed and provided to Administrator Jenelle Wang.