Routine inspection·May 7, 2026

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection and was greeted by administrator (admin) Romulo Bautista. Facility is an Adult Residential Care Facility for the Elderly with an approved fire clearance for capacity of 6 (six) residents. There are currently four (4) residents in care with one resident on hospice. LPA toured the building and grounds which was found to be clean and at a comfortable temperature. LPA observed all walkways and exits to be unobstructed. All required postings were in a highly visible area. Fire extinguishers were last inspected 8/26/2025. Fire alarm and carbon monoxide alarms all tested and operational. Outdoor furniture accessible for resident use. Water temperature check measured within regulation at faucets accessible to residents within the allowable range of 105 to 120 degrees F. Resident bathrooms observed to have bath mat and grab bar. Disaster drills are being conducted monthly. All bedrooms were equipped with required furnishing. Facility had an ample supply of linens, towels and extra hygiene products for residents. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable foods. Emergency food and water was observed to meet the 72 hour emergency supply Facility kitchen, refrigerators and freezers were clean. Expiration dates were not noted in any food items found in refrigerator and freezer. LPA had conversation with admin that food needs to be properly labeled with expiration dates noted (Technical Violation given). Toxins are locked and inaccessible to residents. Sharps and knives were locked. Phone accessible for resident use. LPA conducted a file review for 4 out of 4 residents. S1 and S2 did not have an updated medical assessment (MA). S1 last MA was completed in 2022 and S2 last MA was from 2023. (Deficiency Cited, See 809D). continued to 809C... continued from 809.... LPA conducted file review for 4 staff, training found to be up to date. LPA and admin conducted a spot check of medication. Medication is centrally stored and locked. Two medications not found noted in Centrally Stored Medication Log, LPA had conversation with admin that all medication must be noted in log carefully (Technical Violation given). Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: LIC500- Personnel Report LIC308- Designation of Responsibility Liability Insurance LIC610E Emergency and Disaster plan Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. Appeal rights given and discussed with Administrator. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and report read with Administrator