Routine inspection·November 19, 2025

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by licensee Edward Alozie. LPA discussed the purpose of the visit with licensee Alozie. According to the facility’s license, there may be a maximum of six (6) residents all of whom may be non-ambulatory of which 1 may be bedridden in at any given time at the facility site. The facility is approved for 2 hospice residents. During today’s inspection, the facility’s current census is five (5) residents living at the facility. There were two (2) residents present at the facility site during the inspection. LPA 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. Resident bedrooms contained the required furnishings. Doors, windows, 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 activities. The facility’s ambient internal temperature was comfortable and compliant, at 80 degrees(º) Fahrenheit (F). Hot water temperature at taps accessible to residents measured as follows: kitchen sink measured hot water at 124ºF and did not have warning signs; sink in restroom #1 delivered hot water at 119.1ºF; sink in restroom #2 delivered hot water at 120ºF; and sink in restroom #3 (in the visiting area) measured hot water at 124.3ºF. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] There was at least 2 days of perishable food, and at least 7 days non-perishable food present. Cooking, dining equipment and utensils were present, and stored. The knives were located in an unlockable drawer needing to be repaired. There were no toxic chemicals or poisons accessible to residents. Medications were properly labeled, as required, and stored in locked area which was inspected. The facility-maintained medication logs which LPA reviewed. LPA spoke with the licensee regarding profile medication sheets. No pools or bodies of water on the premises. Per licensee Edward Alozie, no firearms or ammunition are kept at the facility. The fireplace was not in use and was inaccessible to residents. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers were present (03) and serviced within the last 12 months. First aid kits were complete and readily accessible. LPA spoke with staff and residents, and reviewed staff and resident records. The files which LPA reviewed contained required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were deficiencies observed and cited during today's annual inspection and may be reviewed on the LIC809-D pages of this report. An exit interview was conducted with caregiver Bridget Alozie and LPA provided licensee Edward Alozie provided a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) at the conclusion of the visit. The signature below confirms the documents were received. During the visit, LPA received an updated copy of the Facility’s Emergency Disaster Plan (LIC610-D). LPA requested caregiver Alozie to submit a current Designation of Administrative Responsibility (LIC 308) and Personnel Report (LIC 500), to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov