Routine inspection·January 23, 2026

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced annual required inspection and met with designated administrator (DADM) Catherine Valle and stated the purpose of the visit. Administrator Jowell Valdez was not available at the time of the visit due to prior commitment and corporate secretary/licensee Felina Roque arrived at the facility at 11:54 a.m. The facility is licensed to serve adults 60 and over; up to 12 may be non-ambulatory. 7 maybe bedridden in bedrooms, 2,3,4,7 8 and 9, and a hospice waiver for 5. LPA observed residents and staff present. Facility has a capacity for 12 and current census is 8. 2 out of 8 residents were at the dining room having breakfast when LPA arrived. 5 out of 8 were in their room, having breakfast, watching TV and 1 out 8 was asleep. 3 staff were present assisting residents. LPA toured the facility, including common areas, resident rooms, kitchen, bathrooms, driveway, and outdoor spaces and storage areas. Indoor temperature was within regulation of 65°F. The kitchen was sanitary and organized; knives and chemicals were locked. Food supply met requirements (2 days perishable, 7 days non-perishable). Kitchen water temperature measured at 113.3°F. Bathroom water temperature ranged from 116.6°F to 118.7°F. Refrigerator & freezer temperature is within regulation range of 40°F and freezer is at 0°F. page 1 of 2 see LIC 809C Bathrooms are equipped with grab bars and non-skid mats; resident rooms have adequate storage. medications were locked and inaccessible to residents; first aid kit was complete. Outdoor areas were free of hazards; laundry appliances were functional, and cleaning supplies were secured. Fire, smoke, and carbon monoxide systems were operational; hallways were clear and well-lit. LPA reviewed 4 resident (R1 to R4) and 3 staff (S1 to S3) records, centrally stored medication and destruction record, admission agreements, care plans, health screenings, and training. Based on record review, 4 out of 4 resident record did not have the current centrally medication and destruction record available for LPA to verify and inspect. 3 Out of 3 staff record review have a fingerprint and criminal background clearance, 2 out of 3 staff have a valid 1st aid/CPR certificate. 1 out of 3 staff record is not available for review at the time of the visit. DADM stated S3 record is being updated and was left at home by DADM, S1 stated he/she has a 1st aid/CPR certificate that is valid, however, it was left at home and no one is able to take a photo for LPA to verify the information. S1 and S2 did not have proof of training at the time of the visit. S2 stated that he/she recently started at the facility on 01/19/2026 and is in the process of being trained. S2 stated that he/she was trained by another facility that he/she works for. S1 & S3 did not have proof of training at the time of the inspection. Based on the facility record review, the facility conducted the disaster, fire and earthquake drill training on 02/10/2025, and have not conducted disaster drill training for each shift since 02/10/2025. The facility is equipped with smoke, carbon monoxide and fire alarm system and 2 fire extinguisher that was inspected on 10/06/2025. Deficiencies were cited during today's visit based on the California Code of Regulations (CCR) Title 22 (See LIC 809D). An exit interview was conducted with licensee Felina Roque and designated administrator (DADM) Catherine Valle and a copy of the report and appeals rights was provided. end of report page 2 of 2