Routine inspection·April 30, 2026

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 himself to, and discussed the purpose of the visit with Caretaker. The facility's license shows a maximum capacity of six (6) adult clients, ages 60 and over, three of them might be non-ambulatory and one bed ridden. Hospice waiver granted for six. LPA arrived at 1:50 pm to the facility. LPA requested facility files and around 2:10 pm. 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. No pools, bodies of water exist on the premises. There is a fireplace on the living room not in use. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC809] Per S1, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguishers were 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. Water temperatures were measured around the facility with the following readings in Fahrenheit degrees: kitchen sink 108, bathroom 1 109. LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas. No deficiencies were cited per California Code of Regulations. An exit interview was conducted with S1, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during today’s visit.