Routine inspection·October 28, 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 S1, and Licensee May Paraiso. The facility's license shows a maximum capacity of 6 non-ambulatory residents, ages 60 and above. During today’s inspection there were 6 residents in care. LPA arrived at 7:20 am, facility looks clean and in good repair and decorated for the Holidays. At 7:35 am LPA reviewed requested residents files where he found that a resident in the facility appears as bedridden according to their records. LPA and Licensee toured the interior and exterior of the facility and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. 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 non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. 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. One deficiency was cited per California Code of Regulations, Title 22 (refer to the LIC809-D page). A Civil Penalty was assessed (refer to the LIC421IM page). Plan of Correction was jointly developed with the Licensee. An exit interview was conducted with Licensee May Paraiso, to whom a copy of this report, the LIC 809-D and LIC421IM pages, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.