Routine inspection·September 26, 2025

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced required Annual Inspection to the above-named facility. Administrator Rhonna Buyco arrived at the facility at approximately 12:18 pm, LPA explained the purpose of the visit. Entrance interview conducted. LPA conducted a physical tour of the facility. This is a one-story home licensed as a Residential Care Facility for the Elderly (RCFE) and maintains a service contract with Tri-Counties Regional Center for 4 residents. It is home to residents who may have a dementia diagnosis and/or developmentally/intellectually disabled. The facility’s fire clearance has been approved for 5 non-ambulatory residents and 1 bedridden resident. The facility has a hospice waiver for 1 resident. There are currently four residents residing in the facility. There are no residents currently on hospice. Upon arrival, the house manager/caregiver was on duty. Two caregivers were on duty, one of which provides 1:1 for one resident. Three residents were present in the facility. One resident was out in the community attending an adult day program. A tour of the physical environment and accommodations were assessed, and the following was noted: LPA observed the required posting of the complaint poster and Resident’s Rights. LPA inspected the one-story facility for fire safety, personal accommodations, and food service. First aid kit was observed to be complete. The physical environment was checked for cleanliness and condition. Walls, windows, ceilings, doors, floors and floor coverings were checked. The kitchen, living room, and dining area are neat and clean. Fire inspection was conducted on August 5, 2025. The dual carbon monoxide/smoke alarms are hard wired and connected to the local fire department. Please continue to 809-C, Page 2. The backyard has a gazebo with outdoor furniture, and flower beds with paved walkways. There are no bodies of water. The backyard is conducive for visits and activities held outdoors. The recycling bin, green waste bin, and trash bins are standard bins with flip lids. The facility maintains a comfortable temperature with centralized heating and air conditioning. Hallways, bedroom doors and walls are in good repair. The facility has 5 bedrooms for 6 residents. Bedroom #2 has a private bathroom. Each resident’s room is furnished with overhead lights to provide sufficient lighting. There are two shared bathrooms—one shared bathroom is off the hallway located at the front of house leading from the living room. One bathroom is located in the second hallway leading from the dining area. All residents have access to the two shared bathrooms. Residents participate at will in activities out in the community attending day programs and family visits. In the facility, they participate individually and in groups with exercising activities, puzzles, social conversations, special celebrations, holiday celebrations, and excursions to local eateries and local parks. Sight seeing excursions are conducted periodically to areas outside the local community and within the county. Residents’ records were reviewed and all records are up to date. Medications are administered as prescribed. Personnel records were reviewed and records and trainings are up to date. All persons associated with the facility have a criminal background clearance and have been properly associated to the facility. Exit interview conducted. No deficiencies noted. No citations issued. Copy of report issued at the time of the visit.