Routine inspection·April 16, 2026

Licensing Program Analyst (LPA) Arian Golbakhsh conducted an unannounced, required Annual Inspection. The facility file and personnel report was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit to Caregiver Angelica Escalante. Administrator Katherine Sandez arrived within 30 minutes of LPA's arrival. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, one (1) of which may be bedridden. Bedridden may reside in bedroom #3. Additionally, the facility is approved for three (3) hospice waivers. During today’s inspection there were six (6) residents in care, with three (3) currently on hospice. LPA and Administrator Sandez 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. Hot water temperature at taps accessible to clients were all compliant: kitchen sink was 110F. 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. LPA noted a variety of games and activities present in the living room area. The facility contained at least two (2) days of perishable food, and at least seven (7) days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Knives were locked and inaccessible to residents. [Continued on LIC 809-C] [Continued from LIC 809] The hallway closet containing chemicals was locked, however, as LPA toured the garage area, a full jug of laundry detergent was present beside the door inside the garage. The door to the garage was not secured and was accessible to residents in care. Administrator Sandez immediately moved the jug from the garage to the locked storage cabinet. One type A deficiency was cited for the accessible chemical. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Sandez, no firearms or ammunition are kept at the facility. Smoke and carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was purchased within the last 12 months, dated for May 2025. Fireplace had an appropriate screen in place. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. The backyard area offered plenty of space for residents and walkways were free of obstructions and trip hazards. LPA interviewed two (2) staff and one (1) client, and interviews did not reveal any licensing or regulatory concerns. LPA reviewed facility records and confidential records were stored in locked areas. LPA noted that the files were well organized and routinely updated. While reviewing staff records, LPA noted that two (2) staff members (identified as S1 and S2) were not associated to the facility. Further review of the Guardian background check system revealed S1 and S2 had eligible clearances, just that they weren't associated to this facility. One type A Deficiency is being cited per California Code of Regulations, Title 22, Division 6 on the attached LIC 809-D for the two (2) staff working without having their clearances associated to the facility. A Civil Penalty was assessed for the total amount of $1,000.00 and details are noted on the attached LIC 421BG form. S1 and S2 were able to be associated during the visit. Two (2) deficiencies were cited during the inspection. An exit interview was conducted with Administrator Sandez to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided. Their signature below confirms receipt of these documents.