Routine inspection·September 30, 2025

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced required 1 year visit and met with administrator (ADM) Aaron-Dell Coronel. LPA stated the purpose of the visit. The facility is licensed to serve adults 18 to 59 years old who are developmentally challenged, ambulatory and non-ambulatory. At 1:10 p.m LPA inspected the facility inside and outside and was accompanied by ADM. LPA observed that all exit doors, walkways, ramps and hallways were free from obstruction. The backyard was well maintained an no debris were observed. LPA inspected the kitchen, dining, living room, 4 resident bedrooms, 2 bathrooms, laundry room and garage. LPA observed no obstruction on the hallways, night lights were available to illuminate the hallways. 2 Out of the 4 bedroom are shared and 2 Out of the 4 are not shared. The bathrooms are equipped with grab bars and non-skid mats. Each bedroom bedding, are sanitary and organized, has sufficient storage to store resident's personal belongings and functioning lights. 2 of the resident beds observed with half bed rails that were prescribed by their primary care physician for the safety of the resident. The facility has a room temperature of 70 degree F, water temperature measured at 112.4 to 113.4 degree F. The refrigerator temperature is at 37 degree F and freezer temperature is at -3 degree F. page 1 of 2 In the kitchen, LPA observed that sharps, medications, are not accessible to residents in care. LPA observed 2 days of perishable items in 7 days of non-perishable items. LPA did not observed any food on the counters that were exposed and no open cartons of food stored. LPA observed that cleaning supplies, and laundry supply are not accessible to residents in care and stored separately from the food storage. LPAs observed first aid kit was complete. Facility has flashlights and batteries. LPA observed the fire extinguisher was last serviced on 08/11/2025. Fire extinguisher was inspected by the vendor on 08/11/2025 and the fire alarm is connected to the fire department. Smoke and carbon monoxide - are in good working condition. The facility disaster preparedness training was conducted on July 29,2025, Fire drill was conducted on August 18, 2025 and earthquake drill was conducted on July 14, 2025. 3 resident records were reviewed and verified to be complete and up to date. LPA reviewed the admission agreement, physician's report, TB result, appraisal needs and services plan and individual program plan, identification and emergency contact information, safeguard of personal properties and valuables, personal rights, and consent forms the centrally stored medications and destruction record and personal and incidental allowance. 3 staff record was reviewed and was verified to be complete and up to date such as but not limited to 1st aid/CPR training, personal rights of the residents, health screening, medical training and Statement Acknowledging Requirement to report Suspected Abuse of Dependent Adults and Elders (SOC341A), fingerprint and background clearance. LPA requested the following documents from ADM - LIC500 (Personnel Report) Liability Insurance, designation of responsibility (LIC308) and Lease Agreement. No deficiencies were cited during today's visit based on California Code of Regulations (CCR) Title 22. An exit interview was conducted with administrator, Aaron Dell Coronel and a copy of this report were provided. page 2 of 2 end of report