Routine inspection·October 2, 2025

Licensing Program Analysts (LPAs) Marcella Tarin and Manuel Monter conducted an unannounced annual inspection and met with Administrator (ADM) Geralyn De Ocampo. LPAs stated the purpose of the visit. LPAs toured the interior and exterior of the facility with ADM to include the kitchen, resident rooms, dining room, bathrooms, back and front of the facility. All exit and passageways were free and clear of obstruction. LPAs toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. LPAs observed the refrigerator temperature at 40 degrees F and Freezer at -5 degrees F. LPAs observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to residents in care. The facility was equipped with smoke and carbon monoxide detectors. The smoke detectors were inspected by a third party vendor on 6/16/2025. Fire extinguishers were last serviced on 2/28/2025. LPAs reviewed the facility first aid kit, and it was observed to be complete. The facility emergency drill log was reviewed. The facility's last drill was on 8/14/2025. LPAs toured 10 random resident bedrooms. All 10 resident rooms have a bed, functioning lights, dresser/table, bedding and space for personal belongings Page 1 of 2 LPAs toured 4 resident bathrooms. All 4 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. LPAs measured water temperature with a range of 114 F to 116 F. LPAs reviewed 4 resident records. LPAs reviewed 4 resident’s Centrally Stored Medication and Destruction Records (CSMDR’s). LPAs reviewed 4 staff records. LPAs observed the facility carpets being replaced, and the facility dining room currently closed due to renovation. ADM states residents are provided meals in their room, or in the common areas. ADM stated the facility maintenance staff are overseeing while the construction process is ongoing. ADM states the construction crew uses the common bathroom in the hallway. No deficiencies were cited during today's visit per California Code of Regulations Title 22. An exit interview was conducted with Administrator Geralyn De Ocampo and a signed copy of this report was provided. Page 2 of 2 END OF REPORT