Routine inspection·November 21, 2025

On 11/21/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Agustin Manio Jr., Caregiver and explained the purpose of the visit. Licensee/Administrator Jocelyn Manalo, was available by phone throughout the inspection. LPA toured the physical plant. This is a 1-story building with 9 bedrooms(8 for residents and 1 for staff), 3 bathrooms, a garage, kitchen, living room, dining room, and front and backyards. All bedrooms had the required furniture and sufficient lighting. All bathrooms had non-slip floor mats and grab bars. No accessible bodies of water or hazards were observed. The facility's fire alarm and carbon monoxide detectors were observed to be in working order. The facility's fire extinguishers were last inspected on 7/10/2025 and were observed to be fully charged. The facility's hot water temperature was between the required 105-120 degrees Fahrenheit. The facility had the required 7 days of non perishables and 2 days of perishables on hand. No food was expired. The facility's first aid kit had the required items. All sharp objects, soap, detergent, poisons, and medications were observed to be locked and in-accessible to persons in care. LPA inspected 5 resident files and 6 staff files. All resident files were complete but staff files were missing some required documents. During file review, LPA observed that S1 and S2 were missing TB results. Per conversation with Licensee/Administrator, S1 and S2 have TB results but documentation could not be provided. A Type B citation was provided. During the inspection, LPA received the following documents: Liability Insurance LPA requested the following documents be sent to the Department by 12/3/2025: Current LIC 500 Administrator's Certificate Theft and Loss Policy and Procedures Transportation Procedures Health Screening Reports for Facility Personnel(LIC 503) Deficiency is cited under the California Code of Regulations(CCR), Title 22. Failure to correct the Deficiency by the Proof of Correction(POC) due date may result in Civil Penalties. An exit interview was conducted. A copy of this report along with Appeal Rights was sent via email to Licensee/Administrator and printed.