Routine inspection·January 15, 2026

LPA Audrey Jeung toured facility and grounds of this 1-level home, consisting of 3 client bedrooms, staff room, two bathrooms, kitchen and living/dining room. There are 2 detached storage units in fenced backyard beyond covered patio. Washer and dryer are located outside on side of building, in covered walkway. There is one car garage. No accessible bodies of water or fire safety hazards observed. PPE supply is inspected. Food supplies are maintained. A comfortable temperature is maintained, lighting is sufficient for comfort and safety and hot water temperature tested at 107 degrees. Toilet and bathing facility is equipped with grab bars and nonskid flooring material. Liquid soap is available at bathroom sink. First-aid kit is inspected. A Disaster and Mass Casualty Plan is posted. There are 3 residents present and 2 staff. No one is currently receiving hospice services. One client file is reviewed. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Rowena Cruz Diaz is a RCFE administrator (x 10/26) that oversees facility operations. Staff files will be reviewed at a later date, due to time constraints. Licensee is requested to submit the following information/forms to CCLD BY 1/29/26: - Administrative Organization (LIC309) - Personnel REport (LIC500) - Proof of current liability insurance - Proof of current surety bonding - Page 9 of Emergency Disaster Plan (LIC610D), signed and dated No deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed today. Technical Advisory Note is issued--1 page.