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 Amanda Roberts, and discussed the purpose of the visit. The facility is a Residential Care Facility for the Elderly (RCFE) with a license capacity of (15), a current census of (7). 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 has sufficient lighting and is maintained at a comfortable temperature. The facility has sufficient indoor and outdoor space for resident activities, however an activities schedule is not created/posted; deficiency issued. The facility is equipped with operating smoke detectors/carbon monoxide alarms, working laundry equipment, and telephone service. Four (4) Resident’s showers, toilets, and hand washing areas were operating properly. The hot water temperature in one (1) resident bathrooms measured between 113.1 degrees F. Five (5) 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, Labor laws, facility sketch, CCLD complaint poster, and Ombudsman poster. Continuation on LIC – 809C: Food Service: Facility kitchen is under construction, dining area is maintained clean . The facility has sufficient perishable food supply, but not non perishable food supply for residents in care, deficiency issued. Sharps and chemicals were kept locked and inaccessible to residents in care. 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 room. Four (4) residents medications were audited at random, R3's medication is not being administered per physician's orders, deficiency issued. Record Review: Four (4) Staff files reviewed were observed to be incomplete, Staff #1 (S1) had a missing health screening, technical violation issued. Staff #3 (S3) was not associated to the facility through guardian deficiency issued. Personnel files did not have in service training, deficiency issued. Three (3) Resident files reviewed were observed to be complete. 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 along with LIC 809C, LIC 809D, LIC 9102, and Appeal Rights were discussed and provided to House Manager Amanda Roberts at the conclusion of the visit.