Routine inspection·November 10, 2025

At approximately 9:30 AM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Staff Coordinator Dioselinne Sanchez Alvarez. Program Administrator Vincent Waller was called and informed of the visit but was unable to attend, Campus Administrator Lance Woodson arrived shortly after. Facility is a Residential Care Facility for the Elderly (RCFE) with nineteen (19) residents in care and is approved for all non-ambulatory residents. At approximately 10:00 AM, LPA initiated a tour of the facility with Staff Coordinator and Campus Administrator and observed the following: Facility consists of one (1) story, was a comfortable temperature, and passageways were free from obstructions. Facility shares a campus and reception area with a locked facility not licensed by Community Care Licensing. Fire extinguishers were last inspected 4/25. Smoke and Carbon Monoxide detectors are hardwired and serviced by a third party vendor, last serviced 9/25. Water temperature measured between 105.6- and 116 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, incontinence care, and paper products available for residents. Spot check of residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations and private bathrooms contained soap/paper towel dispensers. Closets containing cleaning supplies and other items that could pose a risk were locked. Facility kitchen provides meals for both the locked and unlocked facility, LPA observed food is stored and transported in a safe manner. There is a shaded outdoor space for activities and facility events. Facility has an internet access device and internet available to residents in care, and the phone was tested and operational during today's inspection. Facility also provides a private phone room with a land line phone for resident usage. Continued LIC809C... Continued from LIC809... LPA observed an activity calendar, multiple activity rooms including a library and movie room, and observed staff conducting activities with residents. Facility conducts quarterly disaster drills, and the most recent drill was conducted 10/25. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. At approximately 10:30 AM LPA conducted a review of five (5) resident records. At approximately 11:05 AM LPA conducted review of five (5) staff records. All required documentation present. At approximately 11:50 AM LPA and Service Coordinator Danvie Cardano conducted a spot check of medication and medication records. Medication is centrally stored and locked. Vincent Waller Administrator Certificate 7027164740 expires 1/18/2026. Updated copies of the following documents shall be submitted to CCL within 30 days of this visit : Liability Insurance Lease Agreement LIC400 - Affidavit Regarding Client Cash Resources LIC610E - Emergency Disaster Plan No deficiencies cited. Exit interview conducted with Service Coordinator, whose signature on form confirms receipt.