Routine inspection·March 11, 2026

On 3/11/2026 Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced required 1 year inspection. LPA met with Debbie Aguilar LIC/ADM. LPA stated the purpose of the visit. The facility is licensed with capacity for 6 residents and currently has 5 residents who are 60 and over with neurocognitive disorder. 5 may be non-ambulatory and 1 may be bedridden in room #5 and 1 hospice waiver. LPA observed 5 out of 5 residents at the facility and 2 staff. 3 Out of 5 residents were having breakfast in their bedroom and 2 out of 5 was at the dining room. 2 Out of 2 staff were attending to the needs of the residents. Upon entry, LPA observed emergency disaster plan for RCFE (LIC 610E), postings of personal rights, nondiscrimination notice, compliant information, Long-Term Care Ombudsman (LTCO), and sample of the meal menu. LPA toured the facility inside and outside including the living room, kitchen, dining room, 2 restrooms, 5 resident bedrooms and staff room, backyard and side emergency exits. LPA observed hallways and walkways to be free from obstructions. LPA observed the kitchen, dining, resident bedrooms, and staff room are organized and sanitary, the restrooms are equipped with anti skid mat and grab bars. Residents room has ample storage for their personal belongings. LPA inspected food storage and observed 2 days of perishable and 7 days of nonperishable food supplies. LPA observed the medication, chemicals and knives were locked and not easily accessible to residents. The room temperature is at 70 degrees F, and hot water temperature was measured with a digital thermometer at 108.8 degrees F. page 1 of 2 See LIC 809C Fire extinguisher was last inspected on 07/16/2025. The facility is equipped with wall fire alarm system, carbon monoxide and smoke detectors and were observed to be in good working condition. No smoking signs were posted on on the walls, "oxygen in use" sign was observed posted conspicuously. LPA observed facility first aid kit were complete and were accessible to staff. LPA reviewed 3 out of 5 resident record and 2 staff record and found them to be complete and up to date. Disaster training was administered on 01/01/2026 and 01/04/2026 (fire, disaster & earthquake). Staff has valid certificate for 1st/aid CPR, continuing education training, criminal background and fingerprint cleared and records are up to date and complete. No deficiencies were cited during today's visit based on the California Code of Regulations (CCR) Title 22. An exit interview was conducted with LIC/Administrator Debbie Aguilar. A copy of the report was provided. page 2 of 2 end of report