Routine inspection·November 4, 2025

Licensing Program Analyst (LPA) Janet Ngallo conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted by, identified themselves to and discussed the purpose of the visit with Caregiver Gisela Radoc. The facility's license shows a maximum capacity of six (6) non-ambulatory residents, of which one (1) may be bedridden. Hospice waiver for three (3). During today’s inspection there were five (5) residents in care with one (1) bedridden and two (2) residents on hospice. Licensee Alexander Limpin arrived later during the visit. LPA with Caregiver Radoc toured the interior and exterior of the facility, and inspected each room. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Hot water temperatures for both bathrooms were in compliance at 105 F and 120 F. 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 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 residents.  Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Licensee Limpin, no firearms or ammunition are kept at the facility. (Cont. on LIC 809-C) (Cont. from LIC 809) Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. During the facility tour, LPA observed medications being stored in plastic containers with different sections for morning, noon, evening, and bed time. An interview with Staff #1 (S1) revealed that S1 transfers medications into the corresponding time residents are suppose to receive their medication. These medications were not stored in the original medication packages. LPA explained to the licensee that medications must not be transferred into different containers in this way and in accordance with licensing guidelines must stay in their original packaging. A deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 809-D page). A Plan of Correction was jointly developed with the Licensee. An exit interview was conducted with Licensee Limpin to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.