Routine inspection·September 22, 2025

At approximately 1:15 PM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Designee Angelita Rebujio. Licensee Gaylord Almogela arrived later during visit. Facility is a Residential Care Facility for the Elderly (RCFE) with three (3) residents in care. Facility is approved for all non-ambulatory residents. All residents were away at Day Program during this visit. At approximately 1:20 PM, LPA initiated a tour of the facility with Designee and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 1/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 112.1 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. There is a shaded area in the backyard with outdoor space for activities. Facility has an internet access device and internet available to residents in care, and the phone was tested and operational during today's inspection. Continued LIC809C... Continued from LIC809... Facility conducts disaster drills every three (3) months, and the most recent drill was conducted 9/25. LPA observed facility's infection control plan and emergency disaster plan which was last updated 1/25. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. At approximately 1:50 PM LPA conducted a review of three (3) resident records. All required documentation present. At approximately 2:05 PM LPA conducted review of three (3) staff records. three (3) of three (3) staff were missing current First aid/CPR ( deficiency cited ). At approximately 2:25 PM LPA and caregiver conducted a spot check of medication and medication records. Medication is centrally stored and locked. Zenaida Almogela Administrator Certificate 7034417740 expires 10/18/2025. All fees are current as of this time. Updated copies of the following documents shall be submitted to CCL within 30 days of this visit : LIC500 - Personnel Report LIC308 - Designation of Responsibility LIC400 - Affidavit Regarding Client Cash Resources LIC402 - Surety Bond Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12-month period, may result in a civil penalty assessment. Appeal rights were provided. See LIC809D. Exit interview conducted with Licensee, whose signature on form confirms receipt.