Routine inspection·November 10, 2025

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Manager Patrocenia Santilla. The facility's license shows a maximum capacity of six (6) residents, ages 60 and above, all of whom can be non-ambulatory. Hospice waiver approved for two residents. LPA arrived at 8:00 am. At 8:22 am LPA requested residents’ files, where LPA noticed a resident as bedridden on their medical documents and one resident is diagnosed with diabetes type 2 and requires blood sugar monitoring as well as insulin shots. At 9:17 am, LPA requested staff records and noticed that S2 did not have her medical clearance document. At 10:37 am, LPA and S3 toured the facility, the interior and exterior and inspected the residents’ rooms, two bathrooms and the garage. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings and were personalized by the clients. Doors, windows, screens, toilets, and showers were in working order. Extra linen and hygiene supplies were present, as well as Personal Protective Equipment which was stored along with the medication. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC809] The facility contained at least 2 days of perishable food, and at least 7 days of non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Toxic chemicals or poisons were locked and not accessible to clients. Medications were labeled, as required, and stored in locked areas. No bodies of water on the premises, and a fireplace was found, but not available to residents. Per Administrator, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were serviced within the last 12 months. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and clients, and reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. Three deficiency was cited by the California Code of Regulations, Title 22 (refer to the LIC809-D page). One Civil Penalty was assessed. Plan of Correction was jointly developed with the staff responsible. An exit interview was conducted with Manager Patrocenia Santilla, to whom a copy of this report, the LIC 809-D pages, the civil penalty, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.