Routine inspection·July 22, 2025

At approximately 9:50 AM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by staff. Administrator Donabell Saddi was contacted and arrived at approximately 10:10 AM. Facility is a Residential Care Facility for the Elderly (RCFE) with five (5) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for two (2), with two (2) Hospice residents currently in care and is approved for all non-ambulatory residents and two (2) bedridden. At approximately 10:20 AM, LPA initiated a tour of the facility with Administrator 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 5/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 116.9- and 116.2 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 seating area in the backyard with outdoor space for activities. LPA observed one (1) locked shed in the backyard the contents of which consisted of seasonal decorations and overflow storage. Facility has an internet access devise and internet available to residents in care, and the phone was observed operational during today's inspection. Continued 809C... Continued from LIC809... Facility conducts monthly disaster drills, and the most recent drill was conducted 7/25. LPA observed facility's infection control plan and emergency disaster plan. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. At approximately 11:00 AM LPA conducted a review of five (5) resident records. All required documentation present. At approximately 11:20 AM LPA conducted review of two (2) staff records. All required documentation present. At approximately 11:30 AM LPA and Administrator conducted a spot check of medication and medication records. Medication is centrally stored and locked. Donabell Saddi Administrator Certificate 7004461740 expires 4/28/2026. Updated copies of the following documents shall be submitted to CCL within 30 days of this visit : Liability Insurance LIC308 - Designation of Responsibility LIC400 - Affidavit Regarding Client Cash Resources LIC610E - Emergency Disaster Plan No deficiencies cited. Exit interview conducted with Administrator, whose signature on form confirms receipt.