Routine inspection·May 23, 2025

On May 23, 2025, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with Licensee, Sivaganesh Mullapudi. The facility file review was conducted at the Regional Office and additional records were requested and reviewed on site. This facility is licensed for 18 Elderly Adults and is currently operating at a capacity of (11) RESIDENTIAL CARE ELDERLY (740) . LPA Mixson toured the facility along with Licensee Sivaganesh Mullapudi and made observations pertaining to the annual visit. LPA inspected the facility inside and outside there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. Currently there are no bodies of water on the premises. The facility is a Two-story structure located at 1178 Evergreen Lane Vista CA. 92084 . Physical Plant: Facility phone number is (760) 630-8122 and it is operable. LPA Mixson observed the residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights." The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit. Medications : Were locked and inaccessible to residents in care. There were a sufficient supply of medication for each resident. Overall facility is clean, furniture is in good condition, and home is free of odors. Facility's cooling system and other appliances were operable currently at the time of this visit. Licensee informed LPA there were night lights for safety throughout the facility. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. Care & Supervision / Administration: Adequate staff are present for the supervision of resident in care. Four staff total including Licensee for five. Floor plans, telephone numbers and personal rights were found posted in the facility. Listed Administrator possesses a current administrator’s certificate with an expiration date of 11/11/2026, Aila Sarapat, and it is posted in the facility. Records Reviewed and Resident/Staff Files: LPA reviewed staff files and reviewed the staff schedule. Staff files reviewed have criminal clearance and updated training along with First Aid Certification. Resident files reviewed possessed requested documentation and current weight records. Disaster preparedness: LPA Mixson reviewed facility's emergency and disaster plan as well as disaster training binder. LPA observed the last fire drill was conducted 04/14/2025, was facilitated by Licensee, Sivaganesh Mullapudi, and met regulations. Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms, PPE equipment, and cleaning supplies. LPA reviewed the facility's infection control plan and found required infection control measures. There were no observable deficiencies noted or cited per Title 22, Division 6 of the California Code of Regulations at the time of this annual inspection. An exit interview was conducted where a copy of this report was discussed and given Licensee, Sivaganesh Mullapudi.