Routine inspection·September 22, 2025

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year visit and met with Concordia Casabar . During visit, LPA toured the facility inside and out. LPA toured the kitchen area and observed locked cabinets for sharp objects and cleaning supplies. LPA observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPA reviewed the first aid kit and found it to be complete. LPA toured four out of four resident bedrooms. Each bedroom had working lights and available clothing and storage areas. LPA toured two out of two bathrooms. Each bathroom had working lights and available soap and paper towels. The water temperature in one of the two bathroom sinks was 107 F. The sink in the other bathroom was clogged during visit. LPA tested the carbon monoxide and smoke detectors in the hallways and resident rooms during visit. All detectors functioned properly when tested. LPA toured the outside area and observed the exits to be clear of obstructions. See LIC809-C page for more information. Page 1 of 2. LPA reviewed five out of five Centrally Stored Medication and Destruction Records (CSMDR). 4 out of 5 resident CSMDRs were complete. Resident R1's CSMDR was missing 7 medications. LPA reviewed 5 out of 5 resident records and found them to be complete. LPA reviewed 4 staff records. 3 out of 4 staff records were complete. Staff S1 did not have a staff record maintained at the facility, and was missing an LIC501 Personnel Record, LIC503 Health Screening, and current First Aid Certification. LPA reviewed the emergency disaster drill log and found the last drill was recorded on 08/01/2025. Deficiencies were cited as per California Code of Regulations Title 22. See LIC809-D pages for more information. LPA Marrufo requests updated copies of the following records be submitted to the department within seven calendar days: LIC500 Personnel Report LIC308 Designation of Administrative Responsibility Liability Insurance LIC610E Emergency Disaster Plan This report was reviewed with Concordia Casabar and a copy of this report and appeal rights were provided. Page 2 of 2. END REPORT