Follow-up on corrections·September 22, 2025

Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to issue a deficiency based on observations from a annual inspection on 8/6/2025. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Licensee Kingston Okoro. According to the facility’s license, the facility has a maximum capacity of six (6) elderly residents age 60 and above, one (1) of whom may be non-ambulatory in bedroom #4. The facility has a hospice waiver for 5 residents.  During today’s inspection, there were a total of five (5) residents in care. This facility does not feature a secured perimeter or delayed egress doors. During today’s visit, LPA observed three non-ambulatory residents in care, one (1) bedridden resident in room number #3, and an ambulatory resident in room #6, one(1) non-ambulatory Resident #2(R2) in bedroom #1, one(1) non-ambulatory Resident #3(R3) in bedroom #5, one(1) non-ambulatory resident in bedroom #4. A review of the Physician Report indicated that Resident #2(R2) and resident #3(R3) R3 are non-ambulatory and resident #1(R1) is bedridden. The facility only has clearance for one non-ambulatory resident in bedroom #4. During an annual inspection on 8/6/2025, LPA observed, and a review of the physician's report confirms, five (5) residents in care: one ambulatory, three (3) non-ambulatory, and one bedridden. LPA advised the Licensee to contact the San Diego Fire—Rescue Department (SDFRD) to learn about fire code clearance and evaluate the bedridden and non-ambulatory regulation at the time of this visit. (continued on 809-C) (continued from 809) On September 10, 2025, Per SDFRD, the facility is only allowed one non-ambulatory resident in the facility, which is in alignment with the current license.  This poses an immediate safety risk to residents in care. LPA reviewed the process of submitting a new application with the updated fire clearance for one bedridden resident and five non-ambulatory residents. LPA also instructed the licensee on the 30-day eviction procedure as well as the need to update resident records accordingly. One deficiency was cited per California Code of Regulations, Title 22, for violation of the facility's fire clearance.(Refer to the attached LIC 809-D). A Plan of Correction was jointly developed with the licensee. An exit interview was conducted with Licensee Kingston Okoro, to whom a copy of this report, the LIC809-D, a Civil Penalty Assessment form - LIC 421IM and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.