Routine inspection·October 21, 2025

Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with a staff and was granted entry to the facility. Facility administrator-Regina Chavez was been informed and arrived during this visit. At the time of the visit there was five (5) staff present, and twelve (12) residents present. The facility is a nine (9) bedrooms and four (4) bathrooms, with a kitchen/dining area, living room, and no garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (18) current census (12) for total of eighteen(18) bedridden residents. LPA was accompanied by Facility Administrator Regina Chavez, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. There are no bodies of water. The facility is maintained at a comfortable temperature of 75 degrees Fahrenheit (F). LPA Singh inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be at 117 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for resident/staff files. Medications are kept inside medicine closet inaccessible to residents. 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 number of residents in care. The facility had a sufficient amount of nonperishable and perishable food items. The food was kept in a safe and healthful manner. The facility menu was available for review. The freezer was 0 degrees F. The refrigerator was 40 degrees F. Dishes, glasses, and utensils were in good condition. Sharps and knives were locked and inaccessible to the residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department Record Review: LPA reviewed five (5) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. The facility had a designated area for staff and resident records. Emergency disaster plans, personal rights, and complaint posters were posted in a common area. The facility was equipped with a complete first aid kit and manual. There is adequate seating in the common areas. Facility had a description of activities chart and menu chart on the wall for the residents. Night lights were maintained in the hallways. Fire drill and Disaster/earthquake preparedness drill conducted on 08/28/2025. Liability Insurance valid through 10/30/2024 to 10/30/2025. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report LIC809, LIC809C were discussed and provided to the applicant Regina Chavez.