Routine inspection·August 18, 2025

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Designated Administrator (DA) Michelle White. LPA stated the purpose of the visit. LPA toured the interior and exterior of the facility with DA to include but not limited to the kitchen, resident rooms, dining room, bathrooms, back and front of the facility. All exit and passageways were free and clear of obstruction. LPA observed video surveillance of the courtyard/entrance to the facility. LPA observed cameras in the hallways of the facility. DA states the cameras are non-operational. DA states the courtyard/entrance is the only area with video surveillance in the facility. 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 36F and Freezer at -5F. 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. The smoke detectors were last inspected by a third party vendor on 3/14/2025 and passed inspection. Fire extinguishers were last serviced on 3/10/2025. Page 1 of 2 LPA reviewed the facility first aid kit, and it was observed to be complete. The facility emergency drill log was reviewed and drills are being conducted monthly. The facility's last drill was on 5/21/2025. LPA toured 10 random resident bedrooms. 10 Out of 10 resident rooms have a bed, functioning lights, dresser/table, bedding and space for personal belongings. LPA measured water temperature in 7 resident bathrooms with a range of 113.3 F to 119.6 F. LPA reviewed 4 resident records. Resident records included emergency contact information, physician’s report, needs and service plans, and personal rights. LPA reviewed 4 resident’s Centrally Stored Medication and Destruction Records (CSMDR’s). LPA reviewed 4 staff records. Staff records included fingerprint background clearance, medical assessment with TB result, personnel record, and staff training. No deficiencies were cited during today's visit per California Code of Regulations Title 22. An exit interview was conducted with Designated Administrator Michelle White and a signed copy of this report was provided.