Routine inspection·February 2, 2026

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee/Administrator Joseph P. Alvela. According to the facility’s license: The facility has a maximum capacity of six (6) residents, of whom all may be ambulatory or non-ambulatory. Up to one (1) resident may be bedridden, if they in Bedroom #3. Up to six (6) residents may be under hospice care at a time. Per LPA observation, LIC602 Physician’s Reports, and staff interviews: During today’s inspection, there were a total of six (6) residents in care, of whom all were non-ambulatory. One (1) of the residents was also under hospice care. 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 and screens, toilets, and showers were working. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. The facility’s ambient internal temperature was complaint at 72 F. Hot water temperature at taps normally accessible to residents were compliant in temperature. Refrigerators and freezers used to preserve perishable foods and medication were complaint in temperature. There were at least (2) days of perishable food and at least seven (7) days of non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present and in good condition. [CONTINUED ON LIC 809-C, 1 of 2] [CONTINUED FROM LIC 809] The facility did not have a swimming pool (or similar body of water). The fireplace was screened, as required. There were no open-faced heaters, toxic chemicals/poisons, or other hazardous objects accessible to clients. Smoke detectors, carbon monoxide detector, emergency lighting, night lights, and facility telephone were all working. The facility’s license did not include endorsements for delayed-egress doors or secured perimeter, and neither of these were present. There was a locked area for storage of medication. Confidential records were stored in secure areas. Required licensing postings were observed in visible areas of the facility. Per the Licensee, no firearms or ammunition were kept at the facility. Licensee presented proof of current business liability insurance. During a review of resident records, LPA observed, and manager interview confirmed: Licensee did not within the last twelve (12) months hold a meeting/conference with the responsible person and other appropriate parties for four (4) of six (6) residents [Resident #1 (R1) through Resident #4 (R4)], for the purpose of reviewing and updating the resident’s written record of care / care plan, as was required. [See LIC811 Confidential Names List for a description of select person identifiers used in this report.] For two (2) of six (6) residents [R2 and Resident #5 (R5)], Licensee did not have documentation in the resident’s record of an annual routine visit with the resident’s licensed medical professional within the last twelve (12) months, as was required. Two (2) of six (6) residents had Restricted Health Conditions (as defined in CCR 87614) for which they required some caregiver monitoring and/or assistance: R3 and R4 were both diabetic, using both glucometer-testing and Insulin flex-pen administration. While care staff displayed some skill/knowledge on how to care for diabetes, Licensee did not arrange for (and document) that a licensed medical professional (such as a nurse) provided the facility’s caregivers “hands-on instruction in both general procedures and resident-specific procedures,” as was required. Additionally, R1 was under hospice care, but Licensee did not arrange for (and document) that hospice agency personnel (such as the resident’s assigned hospice case manager nurse) provided “training specific to the current and ongoing needs of the individual resident receiving hospice care,” prior to the start of hospice care at the facility for R1, as was required. [CONTINUED FROM LIC 809-C, 2 of 2] [CONTINUED FROM LIC 809-C, 1 of 2] During a review of personnel records, LPA observed, and manager interview confirmed: Three (3) of three (3) direct care staff [Staff #1 (S1), Staff #2 (S2), and Staff #3 (S3)] did not complete the minimum twenty (20) hours of continuing training within the last twelve (12) months, as required. [Regulation requires twenty (20) hours per direct care staff, of which at least eight (8) hours must be on Dementia care, and at least four (4) hours must be related to postural supports, restricted health conditions, and hospice care.] Additionally, two (2) of three (3) direct care staff who pass medications (S1 and S3) did not complete eight hours of in-service training on medication-related issues in the last twelve (12) months, as required. Four (4) deficiencies were cited per California Code of Regulations, Title 22, and two (2) deficiencies were cited per California Health and Safety Code (see the attached LIC809-D pages). Plans of Correction were jointly formed with the Licensee. An exit interview was conducted with Licensee/Administrator Joseph P. Alvela, to whom a copy of this report, the LIC809-D pages, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.