Routine inspection·April 21, 2026

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with licensee/administrator (LIC/ADM) Diana Natividad and stated the purpose of the visit. The facility is licensed for adults 60 and over and all 6 may be non-ambulatory. LPA observed 4 residents were present and were at their respective rooms and 1 staff. LPA toured the facility, including common areas, resident rooms, kitchen, bathrooms, driveway, and outdoor spaces and storage areas. Indoor temperature was within acceptable range of 70°F. The kitchen was sanitary and organized; knives and chemicals were locked. Food supply met requirements (2 days perishable, 7 days non-perishable). Kitchen water temperature measured at 118.7°F. Bathroom water temperature is at 117.8°F. Bathrooms had grab bars and non-skid mats, however, LPA observed the visible debris and brown stained buildup observed within the toilet bowl below the waterline . Resident rooms had adequate storage. Medications were locked and inaccessible to residents. The outdoor walkway are free from obstruction and any tripping hazards; laundry appliances were functional, and cleaning supplies were secured. Fire, smoke, and carbon monoxide systems were operational; hallways were clear and well-lit. page 1 of 2 LPA reviewed resident and staff records, including medication logs, admission agreements, care plans, personal and incidentals, health screenings, and training. Based on document review the following were observed; the appraisal needs and services plan for 1 out of 5 done on 2017, and 2018, 1 out of 5 was done on 2023, and 1 out of 5 done in 2022 and 2 out of 5 had no appraisal needs and services plan. 1 out of 2 staff training was dated 2024, 2019 and 2013. Based on record review 4 out of 5 residents were diagnosed with dementia. The facility conducted the fire drill 3/01/2026. According to licensee, the facility conducts fire drills but not for earthquake drills. The facility is equipped with panel fire alarm system and 3 fire extinguisher were inspected on 04/01/2026. Deficiencies were cited during today's visit based on the California Code of Regulations (CCR) Title 22 See LIC 809D for details. An exit interview was conducted with licensee Diana Natividad and a copy of the report was provided. page 2 of 2 end of report