Routine inspection·December 8, 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 Licensee Yanet Puentes. The facility's license shows a maximum capacity of six (6), 60 and over non-ambulatory residents. Hospice Waiver approved for 4. LPA arrived at 7:15 am to the facility. At 7:50 am, the staff and residents files were shared with LPA. At 8:40 am, 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. 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. LPA and licensee reviewed the medications cabinet. Medications were labeled, as required, and stored in locked areas. MAR is not required, but medications are being administrated from the bubble wraps with no particular order. No pools, bodies of water exist on the premises. A fireplace is keep in the premises with a barrier for residents' safety. Per Licensee, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC809] Water temperatures were measured around the facility with the following readings in Fahrenheit degrees: kitchen sink 114.4, bathroom one 111, bathroom two 107.8. 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). No Civil Penalty was assessed. Plan of Correction was jointly developed with Licensee. An exit interview was conducted with Licensee Yanet Puentes, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.