Routine inspection·June 24, 2025

On 06/24/2024, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced annual inspection. LPA met with administrator Noralee Reyes and explained the purpose of today's visit. There is 3 staff present and 5 residents present. This facility is licensed for ages 60 years and over. 5 may be non-ambulatory and 1 ambulatory. Hospice wavier approved for 2 residents. There are currently no residents on hospice at time of this inspection. LPA was allowed entry into the facility. This is a single level facility. Annual fees are current. The physical plant was toured inside and outside to ensure the safety of the residents. The backyard is shared with their sister facility Family Feels 2 located at 777 Terrazo Drive. LPA observed the facility kitchen which is clean and observed appliances are in good repair. Knives are stored and locked in the kitchen in a drawer adjacent to the stove. Cleaning supplies are observed as locked beneath the kitchen sink. Medications are locked in a file cabinet in the main dining room area. Perishable and non-perishable food items are observed as in place. There is an additional freezer and canned food supplies stored near the office and staff rooms. This facility does not have a garage as it was converted into the office area and staff room are. First aid kits are observed as complete with required items. LPA observed fire extinguisher in the dining room with an inspection tag dated 08/09/24. The fire extinguisher is charged and within operable range, smoke detector/carbon monoxide detectors are observed in place through out the facility, and central heating/cooling system. PPE and additional food supplies are observed as in place. Continued on next page. Page 2 Laundry area is also observed as fully operational located beneath the facility. Emergency exit routes are observed inside and outside to be free and clear of obstructions. Last emergency/disaster drill was conducted in January 2025. Water temperature was measured at 110F in a common bathroom in the main hallway. Shower floor is observed to have non-skid flooring. LPA observed rooms at random and all appeared clean, free of odors, and contained all the required furniture per regulatory recommendations. Resident linen supplies are observed as in place. Rooms 4 and 5 have residents using oxygen but there is no sign in place during time of inspection. Signs were printed and affixed to the outside of those rooms. Rooms 2, 3, and 5 have residents that have 1/2 bed rails in place but do not have orders on file for the rails. LPA reviewed 6 resident files and also reviewed 3 staff files on this day. Per resident files reviewed they are current with the exception of the bed rail orders. Per staff files reviewed all files. Staff have current first aid but no training records within the last year on file. Client medications are inspected and are current including facility medication administration records. Administrator certificates are observed as current expiring on 01/05/2026. The following updated forms are requested to be submitted to CCLD by 07/01/2025 : • Copy of updated Administrator Certificates • LIC308 Designation of responsible staff person • LIC610E Emergency Disaster Plan • LIC500 Staff Schedule Technical violations are given on this day on the attached LIC9102TV pages. Report is reviewed with Rita Garcia and a copy is provided.