Routine inspection·April 20, 2026

Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The facility file was reviewed prior to the visit. LPA identified herself and was granted entry by caregiver Dania Francois. LPA discussed the purpose of the visit with licensee Rose Dorvilus. According to the facility’s license, there may be a maximum of 6 residents, all of whom may be non-ambulatory at any given time at the facility site. The facility is approved for 1 bedridden resident in bedroom #4 and has an approved waiver for 4 residents. During today’s inspection, the facility’s current census is 4 residents living at the facility. There were 3 residents present at the facility site during the inspection. LPA inspected 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. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens and hygiene supplies were present. Personal Protective Equipment was ordered during the inspection and will be delivered the following day, 04/21/26. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 75 degrees(º) Fahrenheit (F). Hot water temperature at taps accessible to residents was also compliant. There were at least 2 days of perishable food, and at least 7 days of non-perishable food present. Cooking, dining equipment, and utensils were present and all safely stored. There were no toxic chemicals or poisons accessible to residents. Medications were properly labeled, as required, and stored in a locked locker, which LPA inspected. The facility-maintained medication logs, which LPA reviewed. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] No pools or bodies of water on the premises. Per administrator Dorvilus, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and the facility telephone were all working. Fire extinguishers were present (01) and was recently purchased. The first aid kit was complete and readily accessible. The facility maintained a first aid manual. LPA spoke with 2 residents and reviewed staff and resident records. The LPA's visit did not raise any licensing concerns. The files that LPA reviewed contained the required documents. Confidential records were stored in a locked area. Required licensing postings were observed in a visible area of the facility. There were no deficiencies observed or cited during today's annual inspection, but the facility received Technical Advisory (TA), which may be found within this report. An exit interview was conducted with Licensee Rose Dorvilus, to whom a copy of this report, along with the Licensee/Appeal Rights (LIC9058 03/22), were provided at the conclusion of the visit. The signature below confirms that the documents were received. LPA was provided an updated Designation of Administrative Responsibility (LIC 308) during the visit. LPA requested Licensee Dorvilus to submit a current Personnel Report (LIC 500) and Emergency Disaster Plan (LIC610-E) to the licensing office within 10 business days. Forms are available at www.ccld.ca.gov .