Routine inspection·September 19, 2025

Licensing Program Analyst (LPA) Dang Nguyen made an unannounced visit to conduct a Required Annual Inspection. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with House Manager Flavel Catahan. LPA also spoke briefly via phone with Administrator Lailani Velasco. According to the facility’s license, the facility has a maximum capacity for six (6) residents, of whom all may be ambulatory or non-ambulatory, but none may be bedridden. Per LPA observation, LIC602 Physician’s Reports, and staff interviews: During today’s inspection, there were a total of six (6) residents in care, of whom two (2) were ambulatory and four (4) were non-ambulatory, but none were bedridden. The facility’s license does not include endorsements for delayed-egress doors or secured perimeter doors, and neither of these were present. LPA, accompanied by Licensee’s staff, toured the interior and exterior of the facility and inspected all common areas and resident bedrooms. LPA met with multiple residents and interviewed all staff who were present. LPA reviewed care records for all residents and personnel records for all active staff. During the facility tour, LPA observed: In the facility’s kitchen were eight (8) sharp cooking and/or steak knives unlocked/unsecured. Of these, one (1) had a metal blade over ten inches long, and seven (7) had a metal blade over six inches long. Per facility records, 6 of 6 residents in care [Resident #1 (R1) through Resident #6 (R6)] were diagnosed with significant intellectual disabilities. [See LIC811 Confidential Names List for a description of person identifiers used in this report.] Regulation thus required these knives to be kept in “locked storage” when not in active use by staff. In 4 of 4 bathrooms used by residents, the showers did not have “slip resistant mats, strips, or flooring,” as required. [CONTINUED ON LIC809-C, 1 of 2] [CONTINUED FROM LIC 809] Beyond the above, the facility was clean, sanitary, and in good repair. Pathways were free of obstruction and trip hazards. Resident bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were working. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility’s ambient internal temperature was complaint at 74 F. Where tested, hot water temperature at taps accessible to residents were all compliant: Kitchen Sink was 107.2 F, Bathroom #1 Sink was 115.7 F, Bathroom #2 Sink was 111.7 F, Bathroom #3 Sink was 117 F, and Bathroom #4 Sink was 115.2 F. Appliances to preserve perishable food were also compliant in temperature. There was at least two (2) days of perishable food, and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons, open-faced heaters, or other hazardous items accessible to residents. Medications were labeled, as required, and stored in locked areas. Carbon monoxide detector, smoke detectors, night lights, emergency lighting, and facility telephone were all working. The facility’s fire extinguisher had been serviced within the last twelve (12) months. No fireplaces or pools/bodies of water were observed on the premises. Per the Licensee, no firearms or ammunition are kept at the facility. Required licensing postings were observed in visible areas of the facility. Licensee presented proof of current business liability insurance and surety bond. During review of resident records, LPA observed, and staff interview confirmed: Licensee did not have a copy of a signed Admissions Agreement contract on file for R1, who records show moved into the facility in May 2025. Records showed R2 relocated to this facility in February 2023 from one of Licensee’s other facilities. However, Licensee did not sign a new Admissions Agreement contract with R2 for The Velasco Homes #5, as required. (CCLD considers each facility to be a legally distinct from the other,) For 3 of 6 residents (R2, R3, and R4), Licensee did not maintain a written Absentee Notification Plan as part of their written record of care, as required. [CONTINUED ON LIC 809-C, 2 of 2] [CONTINUED FROM LIC 809-C, 1 of 2] During revie w of personnel and training records, LPA observed, and staff interview confirmed: Licensee did not maintain at the facility a complete personnel file on themselves, as required. For 7 of 7 direct care staff [Staff #1 (S1) through Staff #7 (S7)], Licensee did not ensure these persons received at least twenty (20) hours of training annually. [Regulation requires at least twenty (20) hours of continuing education/training per year, of which of which eight (8) hours must be on Dementia, and four (4) hours must be on Restricted Health Conditions, Hospice Care, and Postural Supports.] Licensee also did not ensure that 8 of 9 staff [S1 through Staff #8 (S8) had been trained on either Personal Protective Equipment (PPE) or the facility’s written LIC610 Emergency Disaster Plan within the last year, as required. Five (5) deficiencies were cited per California Code of Regulations, Title 22, and three (3) deficiencies were cited per California Health and Safety Code (refer to the LIC809-D pages). Plans of Correction were jointly developed with the Licensee. LPA also issued two (2) Technical Violations (TV), regarding frequency and variety of disaster drills and regarding knob protectors for the kitchen range (refer to the LIC9102-TV pages). An exit interview was conducted with House Manager Flavel Catahan, to whom a copy of this report, the LIC 809-D pages, the LIC9102-TV pages, the LIC811 Confidential Names List pages, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit. An electronic set of these same documents was E-mailed to the facility administrator.