Routine inspection·February 5, 2026

At approximately 8:25 AM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-year annual inspection and was greeted by staff member Ryan Bernado. Administrator and licensee were notified of today's inspection and licensee Alma Corsiga arrived at 8:35 AM, while administrator Angel Dean arrived at approximately 9:00 AM to assist with today's inspection. Facility is a Residential Care Facility for the Elderly (RCFE) with four (4) residents in care. Three (3) residents were away from the facility either at Day Program or on a community outing and one (1) resident was present during today's inspection. Facility has a hospice waiver for two (2), with no hospice residents currently in care, and is approved for all non-ambulatory residents. At approximately 09:00 AM, LPA initiated a tour of the facility with administrator and observed the following: Facility is a two story home, was a comfortable temperature, and passageways were free from obstructions. All residents live on the first floor of facility and Licensee's family lives on the second floor. Water temperatures in Residents' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, paper products, and incontinent care briefs available to residents. Residents' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. The drawer faces of two (2) kitchen drawers that were empty were missing and LPA observed fence boards, poles and other debris that could present a tripping hazard present and a T echnical Advisory for facility maintainence and repair was issued. CCR 87303(a) Continued on LIC809-C... Continued from LIC809 LPA observed sharps and laundry room chemicals locked in laundry room behind coded door. Facility has at least two days of perishable food and 7 days non-perishable food in the event of an emergency. LPA observed wilted cauliflower and lettuce in a garage refrigerator that was said to represent a "staff" refrigerator and licensee was advised that the department does not distinguish between staff and resident food storage and a Technical Advisory was issued for CCR food storage 87555(b)(9). There is a covered seating area in the backyard with outdoor space for activities. LPA observed the fence in the backyard on the left side is now repaired. Facility has internet available to residents in care and the phone was tested an operational. Facility's fire extinguisher was observed charged and was last serviced 01/2026. Smoke and Carbon Monoxide detectors were tested and found operational. Facility conducts quarterly Emergency and Disaster Drills with the last drill on 01/11/2026. LPAs observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. Facility does not have a back up generator. At approximately 09:45 AM, LPA reviewed five (5) staff files and four (4) resident files. Five (5) of 5 staff files reviewed have all the required paperwork and four (4) of (4) resident files reviewed have all the required paperwork. Licensee states facility coordinates medical and dental visits for the residents and provides transportation to and from their appointments. At approximately 10:30 AM, LPA reviewed medications and medication records which were centrally stored and locked and correctly administered. At approximately 10:45 AM P&I monies was observed to be stored and correctly accounted for. In addition, LPA obtained an updated Surety Bond and Affidavit for Client/Resident cash resources. Updated copies of the following documents were obtained today for the facility file including: : LIC400 - Updated Affidavit Regarding Resident Cash Resources LIC402 - Updated (increased) Surety Bond LIC9020- Register of Facility Resident- RCFE Continued on LIC809C Continued from LIC809C License to provide updated LIC 500 Personel Roster by 03/03/2026 to update facility file . Technical Advisories are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited Advisories, may result in a future civil penalty assessment. Appeal rights were given. Exit interview conducted with Licensee whose signature on form confirms receipt.