Routine inspection·April 20, 2026

Licensing Program Analyst (LPA) Robert Campbell conducted an unannounced annual required visit. Upon entry, LPA was greeted by Emelinda Tuazon, caregiver, and informed them of the purpose of the visit. At the time of the visit, there were two (2) staff member and four (4) residents present. I Chen Lee/Administrator, arrived later during the visit. Facility Overview: The facility is a one-story home with six (6) bedrooms and four (4) bathrooms, including an attached garage. There are no pools or known firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility has infection control plan in file. Physical Plant: The physical plant, including floors, windows, and doors, was clean and well maintained. Fixtures and furniture were in good repair. The outdoor area was free of hazards. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked and inaccessible to residents. Both the smoke detector and carbon monoxide detector were operational, and the hot water temperature was 118°F. Fire extinguisher located at dining room. LPA documented two (2) deficiencies on the 809D form of toxins and medication left unlocked in cabinets. Food Service: The facility’s kitchen was clean and equipped to prepare food. The facility maintained the required two-day supply of perishable foods and a seven-day supply of non-perishable foods.Continued on LIC809-C.... Care & Supervision/Administration: Adequate staff were present to supervise clients during the visit. The administrator holds a current administrator’s certificate. Record Review and Resident/Staff Files: LPA reviewed files for four (4) staff members, confirming criminal clearances, updated training, and CPR/First Aid certification. Four (4) resident files were reviewed and contained all the required documents. LPA reviewed two staff files without health screening documents. Type B deficiencies will be found on the 809D form. Health-Related Services/Incidental Medical Services: All resident medications were securely locked in hallway closet. LPA reviewed medications for four (4) residents, confirming that all medications were listed on the Medication Administration Record (MAR) and accounted for. Personal & Incidental Funds: All residents are private pay no monies are handled by the facility. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 3-19-2026, which met department requirements. All facility exits were clear of obstructions. All deficiencies cited during the visit are on 809D forms. An exit interview was conducted, during which this report was reviewed and provided.