Routine inspection·May 12, 2026

On 05/12/2026 at approximately 09:30AM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to conduct 1-Year Required visit of this licensed Residential Care Facility for The Elderly (RCFE). LPA was greeted by Staff, Christian Morales Cervantes. Licensee/Administrator, Emmanuel Salas arrived during visit at approximately 10:05AM. Facility has an approved fire clearance and capacity for six (6) non-ambulatory residents and has an approved hospice waiver for two (2) residents. Upon arrival, LPA was informed that there were five (5) residents in care and two (2) staff member on-site. Facility is a single-story building with four (4) resident bedrooms, one (1) staff bedroom, two (2) bathrooms, and common spaces. At approximately 10:35AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 10:45AM, LPA and Licensee toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted. The garbage bins in the resident room did not have proper cover or lid. Licensee agrees to get lid or cover for the garbage bins in the resident room (Technical Violation Given). Licensee agrees to submit proof of correction to CCL within ten (10) days of this visit. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is not within the regulation. Licensee stated that today was the shopping day for the facility (Technical Advice Given). Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Toxins are stored in a locked in the laundry room. Water temperature measured 118.6 degrees F which is within regulation between 105- and 120-degrees F at faucets accessible to residents. Fire extinguishers were bought new on 05/20/2025. Carbon Monoxide detectors were present and in order. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure. Continued on LIC809C... Continued from LIC809... At approximately 11:40AM, LPA reviewed four (4) resident records and found four (4) out of four (4) residents did have current physician's reports, care plans, signed admission agreements, and physician's orders on file. Medication records are thorough and contained physician's orders for each resident. LPA also reviewed three (3) staff records. 3 of 3 records did not have completed training records as required (See LIC-809 page). Evidence of first aid and CPR training were current. At approximately 12:30PM, LPA reviewed the facility emergency disaster plan with Licensee. The plan outlines evacuation routes, which are shown on facility sketch and has alternative meeting locations. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducted and documented a disaster drill on 10/08/2027. Administrator Certificate is for Emmanuel Salas #7010884740 expires on 10/08/2027. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 10 days of this visit: LIC 308 Designation of Facility Responsibilities LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (Last Page) LIC 9020 Register of Facility Resident’s Copy of Updated Certificate of Liability Insurance Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, and Appeal Rights discussed and provided to Administrator. Signature on form confirms receipt of documents.