Routine inspection·October 23, 2025

At approximately 1:35 PM Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to BEGIN a required 1-year inspection of this licensed senior care facility. LPA was greeted by one live-in caregiver and another caregiver who are both associated to the facility via Guardian. The live-in caregiver called the Licensee, Alicia Poquiz who arrived at approximately 2:15 PM. The Facility has fire clearance for six (6) residents and approved for 5 non-ambulatory residents and one (1) bedridden resident in room #5. Room #1 is approved for two (2) ambulatory residents only. Room five (5) and room six (6) ADU (back yard shed) are for staff use only. The facility is a two story home and the second level of the home is not used by residents and there is a gate at the bottom of the stairs to prevent residents going up the stairs. The facility currently provides care for six (6) residents. LPA toured the building and grounds which was found to need a deep cleaning, licensee was advised to remove trash and broken appliances in the backyard and to be mindful to reduce trip hazards at all times. (Technical violation issued). In addition a number of light bulbs in the living room were missing and licensee was advised to replace the bulbs with residents with potential vision issues. Facility was a comfortable temperature, with all exits free from obstruction. All required postings were observed. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Licensee and I observed leaking fluids of possible juice and meat in a garage refrigerator and licensee advised to perform a deep cleaning and inspect food for quality (type B citation issued) Outside ADU was noted to be locked and contained only staff items inside, a separate large shed contained hardware and supplies. Continued on LIC809C Continue from LIC809 There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Toxins are stored in a locked cabinets and Sharps and other kitchen supplies that could pose danger were found secured in the kitchen cabinet. A locking cleaning supply closet was noted to be open with staff present and licensee was advised to ensure that cleaning supplies were secured and locked at all times. (technical violation issued) There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings. Water temperature measured between 105 and 120F as required by regulation. Smoke detectors and carbon monoxide detectors were present, inspected and found to be in working order. Fire extinguisher was charged with proof of service in June of 2024. Facility has a central fire alarm system that was tested by outside party on 11/17/2024 LPA request copies of Deed and updated Liability insurance,LIC500 and LIC9020 and LIC308 (Designation of facility responsibility; if changes) to be submitted to CCL by 11/23/2025 **LPA will return at a future un-announced date to complete inspection including facility files and medication administration review. Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Licensee, Alicia Poquiz and Appeal rights were given.