Routine inspection·January 28, 2026

Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced Required 1 Year visit and met with caregivers Cecilia Ansagay and Josephine Prado. LPA met with Ceclia primarily and explained the purpose of today's visit. Around 12:15pm the administrator Amparo Garcia arrived and met with LPA. This is a single level facility licensed for 60 and over all of which may be non-ambulatory. Hospice waiver on file for 2 residents. As of today's visit, there is only 1 resident on hospice. During visit, LPA toured the facility inside and out. LPA toured the garage area and observed food storage areas and locked cabinets for cleaning supplies. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator is observed to be fully operational and functioning. There is an additional refrigerator in the garage for resident supplies as well. Laundry area is observed in the garage. Both washer and dryer are observed to be functioning and in operation during today's visit. LPA toured all resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. Each room had the required furniture items as outlined in Title 22. Smoke and Carbon Monoxide detectors are in place and functioning. There is a common hallway bathroom in between resident room 2 and 3. This bathrooms water temperature is measured at 105.6F. There is an additional bathroom in room 1. Water temperature is measured at 105.5F in this bathroom. Both bathrooms had non-skid mats available for resident use, as well as required bathroom supplies such as soap, paper towels, toilet paper, and trash cans. Continued on next page... Page 2. LPA observed the pantry located in the hallway adjacent to room 4 as fully stocked. Next to this is the linen closet which is observed to be in place for resident supplies. LPA toured the exterior areas of the facility and found the emergency exits to be clear of obstructions. Fire extinguisher is observed adjacent to the kitchen's dining area as charged and ready to use. LPA reviewed resident medications at random and observed them to be recorded accurately. LPA reviewed staff and resident files on site and all files observed are current. Last disaster drill on record is observed to have taken place on 01/18/2025. Administrator certificate is observed as current No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with the administrator, and a copy of the report is provided on this day. Technical violation issued on the following LIC9102TV.