Routine inspection·October 13, 2025

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced required 1 year inspection visit, met with Administrator Isabel Eslava and stated the purpose of the visit. The facility is licensed to serve adults 60 and over, 5 non-ambulatory and 1 bedridden. The facility has 2 hospice waiver. LPA toured the facility with ADM, inside and outside including but not limited to the kitchen, dining, 4 resident bedrooms, 2 staff room, 2 bathrooms used by the resident and staff and laundry area. Bathroom are equipped with grab bars and anti slip mats. LPA observed 6 bedrooms, 4 Out of 6 bedrooms are used by resident and 2 Out of 6 bedroom are used by staff. 6 Out of 6 bedrooms have functioning lights, a chair, clean bedding, storage space for personal belongings of residents. 1 Out of 6 resident is under hospice care, 3 out of 5 are non-ambulatory and 2 Out of 6 are ambulatory. 2 Out of 6 bedroom are shared and 4 out of 6 are not shared. LPA observed the laundry area and chemicals are locked and inaccessible to persons in care. LPA observed that the dining room and kitchen are organized and sanitary. LPA observed 2 days of perishable food and 7 days of non-perishable food. LPA observed the sharps and chemicals are stored in a locked cabinet under the sink. The medication cabinet is locked and inaccessible to residents. page 1 of 2 LPA observed 2 double door refrigerators/freezer combination and temperature measured at 32 degree F and 0 degree F. The facility temperature measured at 71 degree F, the water temperature measured at 112.1 degree F. LPA observed that interior hallways, and exterior walkways are not obstructed and free from debris. However, LPA observed that facility has excessive incontinent supply stored in different places of the facility such as the shed, garage, and near the emergency exit area. LPA observed unused wheelchairs, more incontinent supplies and construction materials piled on one side by the fence of the backyard. LPA observed 2 locked storage shed in the exterior of the facility. LPA observed that the ramps and railings around the facility are sturdy and maintained. LPA observed emergency exit doors/sliding doors are working and free from obstruction. The facility is equipped with carbon monoxide and smoke alarm system, in good working condition when tested. The facility is equipped with a fire extinguisher last inspected on 05/08/25. The facility conducted their fire/earthquake and disaster training drill was on 01/12/25, 03/02/25, 07/06/25 and 09/03/25. LPA reviewed 3 out of 4 staff record. LPA verified that 3 Out of 4 staff are fingerprint and criminal background cleared. Training are updated and health screening are cleared. LPA reviewed 3 out of 6 resident and verified them to be complete and up to date. No deficiencies were cited during today's inspection based on California Code of Regulations (CCR) Title 22. An exit interview was conducted with Administrator Isabel Eslava and a copy of the report was provided. end of report page 2 of 2