Routine inspection·August 8, 2025

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Administrator (ADM) Cecilia Sullivan. LPA stated the purpose of the visit. LPA toured the interior and exterior of the facility with ADM to include the kitchen, resident rooms, dining room, bathrooms, garage, back and front of the facility. All exit and passageways were free and clear of obstruction. LPA 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. LPA observed the medication storage area, knives storage area, and cleaning product storage areas as locked and inaccessible to residents in care. The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by ADM. Fire extinguishers were last serviced on 12/12/2024. LPA 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 7/14/2025. LPA toured 4 resident bedrooms. All 4 resident rooms have a bed, functioning lights, dresser/table, bedding and space for personal belongings. Page 1 of 2 LPA toured 2 resident bathrooms. All 2 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. LPA measured water temperature with a range of 108.3 degrees F to 111.9 degrees F. LPA reviewed 2 resident records. Resident records included emergency contact information, physician’s report, needs and service plans, and personal rights. LPA reviewed 2 resident’s Centrally Stored Medication and Destruction Records (CSMDRs). LPA reviewed 2 staff records. Staff records included personnel records and staff training. LPA also shared PIN 25-06-ASC and PIN 25-05-ASC and provided a copy of the Department's updated LIC 602A. No deficiencies were cited during today's visit per California Code of Regulations Title 22. An exit interview was conducted with Administrator Cecilia Sullivan and a signed copy of this report was provided. Page 2 of 2 End of Report