Routine inspection·September 22, 2025

On 9/22/2025 at 11:00 AM, Licensing Program Analyst (LPA) Eldin Serrano made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Administrator Kimberly Mejia and was granted entry to the facility. The facility has (50) resident's bedrooms, (44) bathrooms. There is a kitchen, a lobby area, a dining area, a living room, a laundry room, and a courtyard. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of ninety-nine (99) residents of which fifteen(15) ambulatory, eighty four (84) non-ambulatory of which twenty (20) maybe bedridden, hospice waiver granted for twenty (20) and the current census is forty six (46) residents. LPA was accompanied by a staff 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 Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 77 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with the required furniture such as: mattresses, nightstands, 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 bathroom to be at 110 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms on every bedrooom. LPA observed that the facility did not have an updated earthquake drill. Technical violation issued. Fire extinguisher was also observed at the facility. Posters such as personal rights, the CCLD complaint poster, and the disaster plan were posted in a common area. ***Continuation in LIC809C *** Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine cabinet with the resident’s medications locked. LPA observed first aid kit and first aid book at the facility. Food Service: Seven (7) days’ supply of Non-perishable foods and two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. LPA observed that the facility does not have the 72 hour emergency food and water. Citation issued. Care & Supervision: The facility has an Administrator present in the facility with enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Also, LPA observed that the facility has dementia residents. Record Review: LPA reviewed four (4) resident files for admission agreements, updated physician reports, pre-placement appraisals and needs and services plans. LPA observed resident files reviewed were complete. LPA reviewed six (6) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings.LPA observed that staff #6 (S6) does not have an updated food handler training certificate. Citation issued. LPA observed that staff #6 (S6) does not have the health screening on file with tuberculosis (TB) test result. Citation issued. Based on the observations made during today’s visit, Three (3) deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report LIC809, LIC809C, LIC809D and Appeal Rights were discussed and provided to Administrator Kimberly Mejia.