Follow-up on corrections·April 9, 2025

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced case management visit for Type A and Type B deficiencies cited on 10/31/2024 and compliance with the fire clearance. LPA met with Administrator Merclo Garcia and stated the purpose visit. The facility is licensed to serve adults 60 years and over, 4 may be non-ambulatory and 2 ambulatory and 1 may be bedridden. LPA observed 4 out 4 residents (R,R2,R3 & R4). LPA toured the facility inside and outside including the kitchen, dining, living room, 5 resident bedrooms and 2 staff bedrooms, restrooms, food pantry, medication cabinet, supply cabinet, exterior walkways and ramp. LPA observed knives/sharps, medications, chemicals are not accessible to the residents, the food pantry has 7 days of non-perishable food that have a variety of vegetable and protein, organized and labeled. 2 Days of perishable food labeled and organized. The water temperature measured with a digital thermometer at 119 to 121 degree F. ADM stated that the water heater tank was recently replaced and will be monitored for a week to ensure that the water temperature stays within the regulatory standard of 105 degree F to 120 degree F. Walkways and hallways inside the facility were free from obstruction. LPA observed audible alarms on exit doors by the living room. The exterior are maintained, with no broken screen windows, free from cobwebs, exterior ramp is maintained and free from obstructions. Page 1 of 2 See LIC809-C The Fire Clearance was approved by the Fire Marshall on 3/27/2025 and a copy was provided to ADM. ADM submitted an updated LIC 500 reflecting the hours and days that ADM will be at the facility and ensure coverage during day and night time. LPA inspected 2 resident records and 2 staff record and observed that the files were complete and updated. The facility conducted a disaster training on 9/21/2024 and will be administered again on 4/13/2025 as stated by ADM. No deficiencies were cited during today's visit based on California Code of Regulations, Title 22. This report was reviewed with Administrator Merclo Garcia and a copy of the report was provided.