Routine inspection·March 12, 2025

On March 12, 2025, at 10:30 AM, Licensing Program Analyst (LPA) Kenneth Madrigal and Steve Chang conducted an unannounced annual inspection visit, and met with Rosana Mendoza, Administrator (ADM). Upon arrival, Staff 1 (S1) identified themselves and LPAs were granted access to the facility as LPAs explained the purpose of the visit. During the entrance of the inspection, LPAs observed 6 residents and 2 staff. LPA toured the facility inside out with ADM which included the living room, kitchen, dining room, restrooms, residents’ bedrooms, and staff areas. Upon entrance, the facility has personal rights, ADM certificate, resident council, hospice waiver, designation of facility responsibility, the facility licensee, and the emergency disaster plan. The front yard and backyard were inspected. Two-day perishable food supplies and seven-day nonperishable food supplies were observed. LPA observed the cleaning product and knifes storage area is locked and inaccessible to residents in care. The facility room temperature was at 72 degrees F, the fridge was measured at 32 degrees F, the freezer was measured at 0 degrees F and hot water temperature was measured at 105 degrees F in both resident bathrooms. A new fire extinguisher was purchased on March 9, 2025. The facility was equipped with smoke and carbon monoxide detectors and were tested by ADM. LPA observed facility first aid kit. LPAs reviewed 3 staff record files and 3 resident file records. Deficiency noted today based on LPA observations, interviews conducted and record reviews in accordance with the California Code of Regulations (CCR) Title 22, Division 6. See LIC 809-D. An exit interview was conducted with ADM. This Evaluation Report was reviewed with Rosana Mendoza, Administrator. A copy of the signed report and Appeal Rights was provided to ADM.