Routine inspection·February 25, 2026

On 02/25/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA Pascua was met and greeted by Facility Designated Administrator (FDA), Brandon Rose and explained the purpose of the visit. There was one other staff member present at the facility, Alejandra Miranda Caballero. Current census was 5. A brief interview with FDA Rose was conducted. This facility is licensed to serve and retain 6 non-ambulatory elderly residents. 1 out 6 residents may be bedridden residing in bedrooms 1 or 3. In addition, this facility has a dementia plan on file and a hospice waiver for 4 residents. It was learned that there are currently 0 residents on hospice at this time and there is 1 resident currently on home health. LPA Pascua reviewed 3 staff files. All staff members currently working at the facility have all completed documentation. The facility administrator has an active administrator certificate #7009243740 and expires on 06/04/2026. LPA Pascua reviewed 5 resident files. 5 out 5 residents were observed to have outdated needs and services plans. LPA Pascua provided technical assistance regarding Dementia regulations, best practices regarding physicians reports and needs and services plans. A tour of the facility was conducted. A tour of the kitchen was conducted. LPA Pascua observed a sufficient amount of 2 day perishable and 7 day non-perishable food supply. 2 fire extinguishers were present at the facility and were serviced on 02/11/2026 by Jorgenson Co. Smoke detectors and carbon monoxide was observed to be present and in working condition. Drawers and cabinets were opened and the items enclosed were reviewed at this time. Drawers housing knives and sharps were observed to be locked and made inaccessible to the residents at this time. Cleaning agents, bleach, and other supplies were observed to be locked and made inaccessible to the residents at this time. Medication cabinet, located in the kitchen cabinet, was reviewed. Policies and procedures involving handling, dispensing, and documentation of the resident medications were discussed with the facility designated Administrator member at this time. A review of the facility Medication Administration Record and dispensing log was conducted. Medication cabinet was observed to be locked and made inaccessible to the residents at this time. Living room, dining area, and all other areas intended for resident use were observed to be furnished and maintained in compliance at this time and able to meet the needs of the residents. A tour of the resident bedrooms was conducted. Furniture and furnishings were observed to be sufficient and able to meet the needs of the residents at this time. A tour of the resident restroom was conducted. Hot water temperature was taken to make sure that it measured within the allowed range of 105-120 degrees at all times. Laundry room, located prior to the garage door exit, was toured. Cleaning supplies, detergents, and bleach were observed to be locked and made inaccessible to the residents at this time. Linen closet was reviewed. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. A tour of the garage area was conducted. It was learned that this area was mainly used as a storage space for facility related items at this time. First aid kits were observed to be present and contained all of the required components at this time. The following documentation was provided to the LPA to update in the facility records: -LIC 308 -LIC400 -LIC 500 -LIC 610e -Liability insurance. A technical violation was provided to this facility for Sections 87463(a). The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Codes. Appeal rights were reviewed and a copy was printed and given to the facility designated Administrator at this time. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.