Routine inspection·April 28, 2026

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Administrator Adalberto Ojeda and Licensee David Hanna arrived later. Annual fees are current. Required postings were observed. There are residents with dementia diagnosis. LPA/Administrator initiated a tour of the facility at 9:00 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in resident's bathrooms measured at 112.1 and 113.4 degrees F which are not within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cabinet located in the locked garage and under the sink at the kitchen containing cleaning supplies was locked. Medications were centrally stored and locked. The facility has at least two days of perishable, and has one week of non-perishable foods. Facility has emergency food to operate for more than 72 hours during an emergency . Fire extinguisher was last inspected June, 2025. Smoke detectors located throughout the facility were tested and operational. Carbon monoxide detector was tested and operational. Exit doors have auditory alert system that were functional at time of visit. Last disaster drill was conducted on November 2025. Continues on LIC809C... Continued from LIC809... LPA initiated file review at 9:30 am. Three staff files and five resident files were reviewed. All residents have current medical assessments and care plans. Staff have required First Aid and CPR certificates and completed annual required training hours. Administrator Certificate for Administrator Adalberto Ojeda, 7010339740, expires on 5/10/26. Medication and medication records reviewed. The facility is a one story building and has an approved fire clearance dated April 11, 2007 that allows for six non-ambulatory residents and no bedridden resident. However, during records review one out five residents (R1) have a bedridden status and are occupying room #2 (R1), which is not cleared by the Fire Department as bedridden room. LPA/Licensee discussed the issue with R1 to provide the option to submit a request to the Fire Marshall to assess bedrooms to grant fire clearance, but according to the Licensee and LPA's observations R1 is not fully bedridden. During LPA's visit, R1 was observed in a wheelchair at the dining table eating breakfast, then they moved to the living room to watch tv and was transferred by staff to the recliner. Licensee agreed to obtain an updated physician report (LIC602) for R1. Approximately at 10:15am, during file review, LPA noticed that R1 was hospitalized between 1/9/26 to 1/15/26, but a review of incident report logs revealed that incident was not reported to licensing agency. Also, resident (R2) was hospitalized between 3/26/26 to 3/30/26, but incident report was not submitted to the Department. Licensee/Administrator agreed to submit updates of the following documents by 5/8/26: Personnel Report (LIC500) and a copy of liability insurance. Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Licensee and a copy of this report was given.