Routine inspection·November 14, 2025

11/14/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. There are currently three residents in care. Facility approved/cleared for 6 ambulatory, of which all may be non-ambulatory. Facility has a hospice waiver approved for two residents. LPA and Administrator toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner. All rooms were furnished per regulation. All rooms were in good repair. Extra hygiene products and linens were available. Exits are equipped with auditory devices which were working properly during time of inspection. Water temperature in sinks accessible to residents in care were measured at 110.8 and 112.2 degrees F which is within the range of 105 to 120 degrees F per title 22 regulation. Fire extinguishers were last inspected January, 2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested were found to be operational. Toxins and sharps were located in the garage and in the kitchen and were found to be secured. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. Facilities conducts quarterly fire drills with the last one being conducted on 10/31/2025. continued on LIC809C LPA conducted a review of 3 resident records. LPA observed two out of three residents (R1 and R2) needing an updated medical assessment (Deficiency Cited) . LPA conducted review of 3 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training, however one out of three staff did not have an updated 1st Aid & CPR certification on file. Administrator certificate (#7011753740) for Rosauro Sabile is current; 05/11/2024 - 05/10/2026. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/14/2025: LIC500- Personnel Report LIC308- Designation of Responsibility Updated Liability Insurance 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 was conducted with Administrator and a copy of this report was given.