Routine inspection·January 28, 2026

On 01/28/2026, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Val Paraiso who was informed of the purpose of the visit. The facility is licensed to serve fifteen (15) non-ambulatory elderly residents and is approved for a secured perimeter. The facility also has an approved hospice waiver for six (6) residents and LPA was informed only one (1) resident is currently receiving hospice services at the facility. LPA toured the facility's interior and exterior with Administrator Paraiso. During the tour, LPA observed the facility is made up on a one-story building with eleven (11) resident bedrooms, two (2) showers, a kitchen, dining room, living room, and laundry room. LPA observed four (4) staff present in the facility. LPA conducted a record review and all four (4) staff present have a criminal record clearance and are associated with the facility. Resident bedrooms had the required bedding, furniture and lighting. Showers were equipped with grab bars and non-skid mats. LPA toured the kitchen and observed the facility has more than a two-day supply of perishable foods and seven-day supply of non-perishable food items. Knives are secured in a locked kitchen cabinet. Medications are secured in a locked cabinet inside the administrator's office. Disinfectants and cleaning solutions are secured in the locked laundry room. No bodies of water were observed on the premises. Indoor and outdoor passageways were free of obstruction. The outside area provides shaded seating available for resident use. Administrator tested one (1) of the smoke alarms/carbon monoxide detectors and LPA heard it to be operational. LPA also observed several charged fire extinguishers mounted throughout the facility that were last serviced on 09/11/2025. Administrator reported they submitted a capacity increase request to Community Care Licensing and the San Marcos Fire Department (SMFD) has required the facility's driveway to be paved in order to facilitate fire department apparatus' access to the facility. Administrator added SMFD has allowed them to pave the facility's driveway by 2027 due to the financial cost of the project. LPA reviewed the facility's annual fire inspection dated 05/09/2024 conducted by SMFD noting the facility was cited for not having illuminated exit signs or a five (5) year fire sprinkler certification. During today's visit, LPA observed all exit signs to be illuminated and an inspection tag noting the facility's five (5) year sprinkler certification was completed in February of 2025. Residents' personal rights, complaint procedures, Long-Term Care Ombudsman's contact information, emergency disaster plan and facility sketch are visible posted near the front entrance. No issues or concerns were observed during today's visit. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Paraiso.