Routine inspection·August 11, 2025

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required - 1 year annual inspection. LPA met with Assistant Administrator (AA), Triponia "Pony" Tuazon and Designated Administrator Jermaine Aguirre. During visit, LPA toured the facility with the AA and staff to include the dining room, living room, kitchen, medication room, garage, 4 resident bedrooms, 2 staff rooms, 4 bathrooms, backyard, and exterior. All fire exit routes and ramps are free and clear of obstruction. All staff are fingerprint cleared and associated to the facility. In the backyard, LPA observed a seating area that was not shaded. Staff stated they used to have an umbrella connected to the table, however the umbrella broke. Staff immediately purchased an outdoor umbrella and showed LPA proof of purchase during visit. Facility temperature maintained at 73 degrees F. Facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. All items inside the refrigerator/freezer are covered and labeled. Refrigerator temperature maintained at 36 degrees F. Freezer temperature maintained at -2 degrees F. Carbon monoxide detector present and observed operable. Fire extinguisher last serviced of 06/03/2025. Medications and sharp objects observed locked in the pantry with the non-perishable foods. Snacks and fruits observed accessible in the kitchen for the residents. Chemicals, disinfectants, and toxins observed locked and stored separately from the food supply. First aid kit observed. See LIC809-C. Resident bedrooms equipped with proper furniture to include beds, linens, dressers, night stands, and adequate lighting. LPA observed 2 resident beds equipped with half rails in which the 2 resident's has a physician's order for use. Bathroom hot water temperature in bedroom #2 observed at 95.5 - 96.9 degrees F. The bathroom hot water temperature in the hallway observed at 109.9 degrees F. LPA observed a water temperature log which staff are monitoring the hot water temperature daily in the kitchen, hallway, and master bedroom. Staff measured the hot water temperature this morning which measured at 110 degrees F. LPA advised to ensure the hot water temperature in bedroom #2 is maintained within Title 22 regulations. Advisory note provided for bedroom #2's hot water temperature. LPA reviewed 3 resident files were complete and up-to-date. 3 residents centrally stored medications and centrally stored medication records were reviewed and all medications were accounted for. 3 resident's P&I money was reviewed. LPA reviewed 4 staff files were complete to include an active first aid certification, fingerprint clearance, health screening and TB result. Staff are provided annual training on topics relating to dementia care, postural supports, hospice care, restricted health conditions, incident reporting, abuse, personal rights, and medications. Facility has an updated emergency disaster plan. Emergency drills are completed quarterly and the last drill was completed on 08/01/2025. Emergency supplies observed to include flashlights, batteries, and portable power station. Facility has an infection control plan. PPE items to include gloves, hand sanitizer, face masks observed next to the isolation room. The following documents were obtained to update the facility file: Administrator certificates, LIC308, LIC400, surety bond, LIC610E, and LIC500. No deficiencies were cited per California Code of Regulations, Title 22. Advisory note provided. This report was reviewed with Assistant Administrator (AA), Triponia "Pony" Tuazon and Designated Administrator Jermaine Aguirreand a copy of the report was provided.