Routine inspection·May 12, 2026

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Arielle Teodoro. LPA toured the facility inside and out with ADM. License, Administrator Certificate, and personal rights posters were observed in the facility. 4 resident and 3 staff were observed in the facility. LPA reviewed 2 resident file and 2 staff file. Family room, living room, kitchen, dining area, 3 restrooms, and garage were inspected. 4 resident bedrooms, and a staff room were inspected. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet, and chemical closet were observed locked. Room temperature was at 71 degree F, and hot water temperature was at 113 degree F in facility. The temperature of the refrigerator was at 40 degree F, and the temperature of the freezer was at 0 degree F. Fire extinguisher was serviced on 3/2/2026. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Carbon monoxide detectors were tested by ADM, and were working fine. First aid box, night lights, and flash lights were observed in the facility. Front yard and backyard were inspected. There was no obstruction to block the walkways. The last time the facility conducted the fire drill was on 3/16/26 and earth quake drill was on 5/6/2025. 2 Out of 2 residents centrally stored medication forms were observed inaccurate and not up to date. Deficiencies noted today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM