Routine inspection·March 23, 2026

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Licensee/Administrator Azucena 'Sandy' Zipagan and Assistant Administrator (AADM) Triponia M. Tuazon. LPA stated the purpose of the visit. ADM states the facility has 6 residents. No residents were present during inspection. Licensee stated all 6 residents were at day program. LPA toured the interior and exterior of the facility with Licensee and AADM to include the kitchen, resident rooms, dining rooms, bathrooms, back and front of the facility. All exit and passageways were free and clear of obstruction. LPA observed the facility to be clean, safe, sanitary and in good repair. LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA observed refrigerator temperature at 40 F and Freezer at 0 F. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. The facility was equipped with smoke and carbon monoxide detectors. Fire extinguishers were last serviced on 6/3/2025. The facility's fire sprinkler system was inspected on 10/11/2023 by a third party vendor and has a five (5) year certification letter for compliance. The facility first aid kit was reviewed. The facility emergency drill log was reviewed. The facility's last drill was conducted on 3/2/2026. The facility is conducting drills quarterly. Page 1 of 2 LPA toured 6 resident bedrooms. All 6 resident rooms have a bed, functioning lights, dresser/table, bedding and space for personal belongings. LPA toured 2 bathrooms. All 2 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. Water temperature in 2 resident bathrooms measured at 124 F. Licensee had facility maintenance adjust water temperature during inspection. Licensee provided Water Log records for March 2026, documenting water temps in the facility kitchen, and resident bathrooms. Water temperatures documented were all under 120 degrees. Warning signs that water temperature may exceed 120 degree F was prominently displayed in the kitchen and resident bathrooms. LPA advised Licensee to continue to monitor and document water temperatures for the next 7 days, and submit documentation to CCL by 3/31/2026. A Technical Assistance was issued. LPA reviewed 2 resident records. LPA reviewed 2 resident’s Centrally Stored Medication and Destruction Records (CSMDR’s). LPA reviewed 2 staff records. LPA reviewed 2 resident's P & I with AADM. No deficiencies were cited during today's visit per California Code of Regulations Title 22. A Technical Assistance was issued. An exit interview was conducted with Licensee/Administrator Azucena 'Sandy' Zipagan and Assistant Administrator (AADM) Triponia M. Tuazon and a signed copy of this report was provided. Page 2 of 2 END OF REPORT