Routine inspection·August 28, 2025

At approximately 12:15 PM Licensing Program Analyst (LPA) Contreras conducted an unannounced Annual Required inspection to this facility and met with administrator Imelda Padama. Facility is a Residential Care Facility for the Elderly that has a fire clearance approved for two ambulatory residents, 3 non ambulatory and 1 bedridden with an approved hospice waiver for 2. LPA toured the building and grounds which was found to be clean and in good repair. Facility was clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were charged and last inspected 6/30/2025. Fire alarms and carbon monoxide detector were tested and operational. Disaster drills are conducted quarterly with the last drill conducted on 6/22/2025. All signal systems were operational. Outdoor emergency exit clear from obstruction. LPA observed there to not be at least a 2 day supply of perishable food enough for 5 residents. It was observed there to be a 7 day supply of non-perishable foods. Admin stated grocery food shopping is done every Thursday or Friday of the week. Facility kitchen, refrigerators and freezers were clean, and food was stored properly with expiration dates noted. Toxins and chemicals were locked and inaccessible to residents. Sharps and knives were locked in kitchen drawer. Emergency water and food supply was stored in garage. Facility had an ample supply of linens, towels and extra hygiene products for residents. All bedrooms were equipped with lighting, a night stand and chest of drawers. All bedrooms were clean and in good repair. Resident bathroom had required bath mat and grab bar. Continued onto 809C.... Continued from 809... Water temperature in sinks accessible to residents in care measured at 139.3, 139.2 and 137.8 degrees Fahrenheit which is not within the allowable range of 105 to 120 degrees F. Signs observed stating water will get above 125 degrees however, faucets used for personal care such as shaving and grooming of the residents including dementia residents in care was not measured within regulation. LPA reviewed 5 of 5 resident records. All required documentation was present. Physician reports were up to date. LPA reviewed 4 staff records. All required documentation was present. LPA and Admin conducted a spot check of medication and medication records. Medication is centrally stored in a locked cabinet. No deficiencies Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308-Designation of Responsibility Liability Insurance Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Administrator left facility and report given to Designee Luz Torres. Exit interview conducted.