Routine inspection·August 21, 2025

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct a Required - 1 Year inspection and met with, Administrator/Licensee, Lina Fojas. There are currently residents with a diagnosis of dementia and receiving hospice services. Annual fees are current. LPA/staff toured the home at around 9:30am and found the home to be at a comfortable temperature with all exits free from obstruction. Residents have a call button to alert staff and call bell button was tested and operational during inspection. Exit doors have auditory alarms to alert staff. Smoke detectors and carbon monoxide detectors were tested and operational. The fire extinguisher located in the kitchen was observed charged and serviced as of July 2025. Last disaster drill was conducted on 6/27/25. Water temperature measured 116.4, 113.7 and 117.1 which is within regulation of 105-120 degrees. Bathrooms have required non-skid surfaces and grab bars. However, two out of three faucets located in resident's bathrooms were spraying water all over the place. LPA discussed with Administrator the issue (technical violation issued). Cleaning products and knives are stored in locked cabinets in the kitchen. There was enough food supply for seven days of non-perishables foods and two day supply of perishables food. Food appeared to be handled, stored and prepared in a healthful manner. Residents' medications are stored in kitchen locked cabinet and closet. The facility doesn't handle cash resources. Required postings observed. The facility is a two level home, but all resident's bedrooms are located on the first level of the home, no evacuation chair needed. Contact information reviewed. Continue on LIC809C... Continued from LIC809... No snacks were provided during LPA's visit, LPA discussed with the Licensee the importance of providing snacks to residents in care between meals (technical violation issued). Some residents were observed watching tv and others were out of the facility. During tour of the facility LPA/Licensee observed cameras located through the facility common areas. Licensee stated that cameras located in common areas were not included in all resident's admission agreements, LPA instructed Licensee to prepare an addendum to their admission agreements reflecting the use of surveillance cameras without audio in common areas. Licensee agreed to elaborate an addendum to admission agreements. LPA initiated file review at 10:00 am. LPA reviewed four residents files and three staff files. One out of four residents (R1) needs half bed rails doctor's order. During LPA's visit home health nurse came to the facility and Licensee requested half bed rails order. One out of four resident's (R2) needs service plans needs to be updated. LPA had a conversation with Licensee due to R2 has a history of bedsores and it is concerning that they do not have a care plan reflecting their care needs. Also, there are two residents with special diet and LPA observed same food been served for all residents. After inquiring with staff it was determined that residents in hospice has a separate meal been served. Licensee agreed to follow resident's specialized diet (technical advisory issued). All three out of three staff do have current First Aid/CPR certificates and 20 hours of additional required training. Administrator Certificate for Administrator Lina Fojas #7001660740 expires on 10/05/2025. Medications and medication records were reviewed. Licensee provided updates of the following documents: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and copy of liability Certificate. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Licensee and a copy of this report was given.