Routine inspection·October 7, 2025

At approximately 1:00 PM Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to BEGIN a Required - 1 Year inspection and met with caregiver Jyd Leong, who called Administrator Kristine Bernadino. Facility had three (3) hands-on care staff upon my visit. Facility is a Residential Care Facility for the Elderly (RCFE) with a dementia care plan on file, and is approved for six (6) residents that can be non-ambulatory and the RCFE has clearance to care for one (1) bedridden resident in rooms #5 or #6; they have a hospice waiver for three (3) residents. There are currently five (5) residents living in this facility, one of which is on hospice. At approximately 1:30 PM House Manager Mary Grace Defeo, arrived and LPA conducted an inspection of the facility and grounds and observed facility was found to be clean, at a comfortable temperature with all exits free from obstruction. Resident rights and Ombudsman posters are posted. Resident rooms were observed to have the required furnishings and linens. Fire Extinguisher was observed to be charged and serviced in September of 2025. Carbon monoxide detector was found to be operational, smoke detectors were tested and operational. LPA observed a broken down flower (planter) box in the front of the facility and a badly ripped cloth shade structure and the licensee was advised as a commercial property to replace or repair the items to both maintain appearance and meet regulation. Water available to residents in care was within 105-120F per title 22 regulation. Extra hygiene products and linens were available and are kept in the laundry area in the garage. There was a sufficient and variety of both perishable and nonperishable foods as required by Title 22 Regulations. Facility was advised to ensure all food is labeled with the date it is removed from a commercial bag and stored in a separate storage bag, regardless if the food is for staff or residents. Continue on LIC809-C Continued from LIC809 Licensee was advised that LPA will return at a later unannounced date to conduct staff and resident file review, as well as, medicine administration review. LPA will request documents including LIC500, LIC9020, updated Liability Insurance and copy of deed or current lease agreement upon completion of this inspection at next visit. Technical Violation and/or advisories are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), may result in a civil penalty assessment. This report was reviewed with House Manager Mary Grace Defeo, and Appeal rights were given. No deficiencies cited during this inspection