Routine inspection·July 31, 2025

At approximately 9:35 AM, Licensing Program Analyst (LPA) Star Stevenson arrived unannounced to conduct a required 1-year inspection and was greeted by Licensee Leslie Ann Enriquez. The facility was recently vendorized with North Bay Regional Center (NBRC) in June of 2025 and currently the facility has no residents in care. Licensee indicates that NBRC plans to only send them 4 residents and they may look to convert one or two bedrooms to staff room on their facility sketch. Currently fire clearance has been approved for five (5) non-ambulatory residents. Facility has a waiver for three (3) residents receiving hospice services. Facility now has a dementia plan on file with Community Care Licensing (CCL). At approximately 9:50 AM, LPA initiated a tour of the facility and observed the following: Facility is a one story home with auditory signals activated on all exits, was a comfortable temperature, and passageways were free from obstructions. Water temperature in residents' bathrooms measured at approximately 108 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed 4 of 4 bathrooms had required anti-slip mats and grab bars. LPA observed a supply of incontinent care products and paper products available to residents. LPA observed adequate supply of towels, bedding sheets, and hygiene products. Hallways are equipped with night lights and residents' bedrooms have all the appropriate furnishings as outlined in Title 22 regulations. There is a sufficient amount of dishes and cooking supplies for resident use with sharps and other hazardous items kept secured in various designated drawers and cabinets as well as under the kitchen sink. Cabinets in communal areas of the facility containing cleaning supplies and other items that could pose a risk were observed locked. Facility has at least two days of perishable foods, and at least one week of non-perishable foods or emergency water. LPA observed a sample menu posted in the common area to indicate a healthy and balanced set of meals for residents in care. Continued on LIC809-C... continued from LIC809... The facility has both internet service and operating phone and a new phone number that will be updated for the facility. Facility has a designated area with locked cabinets for centrally stored medications and resident, staff, and facility files. LPA observed the facility's infection control plan, first aid kit, PPE, other emergency supplies, and games available for resident use. LPA obtained a newly developed sample activity schedule for residents. Facility has one fire extinguisher, which was observed to be fully charged and last inspected on 03/2025. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Licensee has posted hard copies of the required emergency disaster plan and maps, admissions agreement, theft and loss program, personal rights information, and reporting posters in facility communal areas. The facility Emergency and Disaster Plan for Residential Care Faculties for the Elderly (LIC610E) was updated during inspection on 07/31/2025 including new facility phone number. LPA informed Licensee that visiting hours shall be posted as well one residents are in care. Licensee is aware of the association and staff transfer process.The backyard features paved walkways and a patio with shaded seating for resident outdoor use. In addition property has a number of overgrown fruit trees with dropping fruit and bushes that could present a potential slip/trip hazard, as well as, increased fire risk and licensee was advised to aggressively cut-back trees and bushes and remove fallen fruit on the ground and maintain the patio free from tripping hazards. At approximately 10:50 AM two(2) of 2 staff files were reviewed and one (1) of (2) not have evidence of required 40 hours of initial/required training, however no residents are in care and licensee was given information on educational requirements for those that administer medicines and general caregivers at an RCFE, including the need for 20 hours of annual documented training with emphasis on dementia, postural supports and prohibited conditions. LPA obtained updated copies of LIC610E, Liability Insurance (valid until 04/2026), and activity schudule. Licensee is ask to submit both a new LIC500 and LIC9020 ONCE they receive their first resident in care. No deficiencies are cited today. Technical Advisories are issued from the California Code of Regulations (CCRs), and/or the Health and Safety Code. This report was reviewed with Licensee.