Routine inspection·April 27, 2026

On 04/27/2026 at approximately 09:35AM, Licensing Program Analyst (LPA) Ali Deniz arrived unannounced to conduct 1-Year Required visit of this licensed Residential Care Facility for The Elderly (RCFE). LPA was greeted by Caregiver, Lilibeth Flowers. Administrator, Art Villegas arrived during visit at approximately at 10:10AM. Facility has an approved fire clearance and capacity for six (6) non-ambulatory residents. Facility has an approved hospice waiver for three (3) individuals. Upon arrival, LPA was informed that there were four (4) residents in care and two (2) staff members on-site. Facility is a single-story building with four (4) resident bedrooms, two (2) bathroom, one (1) staff room and common spaces. At approximately 10:45AM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 11:05AM, LPA and administrator toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. All notices that are required to be posted have been posted and are in a highly visible area. LPA observed activity supplies for resident use. The amount of fresh and nonperishable foods is within regulation. Facility kitchen, refrigerators and freezers were clean, and food was stored properly. Staff were in the process of cleaning up kitchen at the time of this inspection. Toxins are stored in the laundry room and under the kitchen sink. Laundry room door observed closet but not locked (Technical violation given). Water temperature measured 116.4 degrees F which is within regulation between 105- and 120-degrees F at faucets accessible to residents. Fire Extinguishers found to be last charged on 03/30/2026 at the time of visit. Carbon Monoxide and smoke detectors were present and in order. There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secure in a cabinet closet next to the dining room. Continued on LIC809-C page... Continued from LIC809 page... At approximately 12:05PM, LPA reviewed three (3) resident records and found three (3) of three (3) residents have current care plans, signed admission agreements, and physician's report on file. Medication records are thorough and contained physician's orders for each resident. LPA also reviewed three (3) staff records. All records did contain documentation of completed training records as required. Evidence of current first aid and CPR training were current. LPA was presented with proof of current CPR & 1 st Aid certification. Administrator Certificate is for Lovelyn Art Villegas #7019452740 expires 06/09/2027. LPA reviewed the facility emergency disaster plan. Facility has supplies enough to operate for more than 72 hours in an emergency. Facility conducted and documented a disaster drill on 02/10/2026. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by due date of 05/07/2026: LIC 308 Designation Facility Responsibilities LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan (Last Page) LIC 9020 Register of Facility Client’s/Resident’s Copy/Proof of Updated Certificate of Liability Insurance No deficiencies were observed in the areas inspected, No citations were issued during today’s visit.= Exit interview conducted. Copy of report provided to Licensee. Signature on form confirms receipt of documents.