Routine inspection·August 25, 2025

At approximately 10:30 AM, Licensing Program Analyst (LPA) Elias Magdaleno arrived unannounced to conduct a required 1-year annual inspection and was greeted by Veronica de Leon-Tan, Assisted Living Director (ALD). Facility is a Residential Care Facility for the Elderly (RCFE) with thirty-six (36) residents in care. At approximately 10:50 AM, LPA initiated a tour of the facility with ALD and observed the following: Facility consists of one (1) story, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 9/2024. Smoke detectors are hardwired and last serviced by third party vendor 8/25. Carbon Monoxide detectors were tested and operational during this inspection. Water temperature measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. Temperatures for freezer and walk-in refrigerator were with the allowable range per Title 22 regulations. Facility telephone was observed operational during today's inspection. LPA observed all required postings were placed in prominent and visible areas. Continued LIC809C... Continued from LIC809... There is a shaded seating area in the yard with outdoor space for activities. LPA observed a closet containing board games, equipment for outdoor activities, and season decorations. During this inspection LPA observed constant staff led activities and was informed activities occur daily from 9:00 AM to 4:30 PM or as long as there is resident interest. Throughout visit LPA observed activities director to regularly take items out of the activities closet to ensure there were activities that fit all resident preferences. Facility conducts quarterly disaster drills, and the most recent drill was conducted 5/25. LPA observed facility's infection control plan and emergency disaster plan which was last updated 5/25. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. At approximately 11:40 AM LPA conducted a review of six (6) resident records. All required documentation present. At approximately 1:00 PM LPA conducted review of five (5) staff records. All required documentation present. At approximately 2:00 PM LPA and Health Services Director conducted a spot check of medication and medication records. Medication is centrally stored and locked. Linda Cho Administrator Certificate 7000882740 expires 4/18/27. Updated copies of the following documents shall be submitted to CCL by 9/24/2025: Liability Insurance LIC308 - Designation of Responsibility LIC400 - Affidavit Regarding Client Cash Resources No deficiencies cited. Exit interview conducted with Assisted Living Director , whose signature on form confirms receipt.