Routine inspection·March 12, 2026

Licensing Program Manager (LPM) Victoria Bertozzi and Analyst (LPA) Christi Coppo arrived unannounced to conduct a required Annual inspection and was greeted by caregiver. Licensee Lily Alcones arrived later. Facility currently has four (4) residents in care none of which are currently on hospice. At approximately 9:15am LPA and LPM toured the building and grounds. The facility was found to be clean and at a comfortable temperature. LPA observed at least a 2 day supply of perishable and 7 day supply of non-perishable food. Food was found to be stored in a safe manner with open items covered and labeled with opened dates present. LPA observed kitchen cabinet under sink to contain sharp knives. Cabinet was unlocked. Caregiver immediately locked cabinet with chain and pad lock. LPA discussed with licensee adding a magnetic lock or something easily locked. All bedrooms were equipped with lighting, night stand, and chest of drawers. All bedrooms were clean and in good repair. Extra hygiene products and linens were available. Resident bathrooms had required bath mats and grab bars. Water temperature in sinks measured at 109.4 degrees F in the kitchen and 111.3 degrees F in the bathroom in the back and 106.5 degrees F in bathroom used by residents, all of which are within the allowable range of 105 to 120 degrees F. Fire extinguishers were last inspected 11/06/25. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facility’s last quarterly disaster drill was conducted on 12/18/25. Facility has a backup generator for use during a power outage. Continued on 809... Continued from 809... At approximately 9:45am LPA conducted a review of four (4) out of four (4) resident files. Resident (R1) needs a current physician's report ( deficiency cited, see 809D ). Staff (S1, S2, and S3) did not have the required hours of training completed, a total of 40 hours plus 10 additional hours of medication training is required but staff had 26 hours. Additionally, S1, S2, and S3 need a total of 12 hours of dementia training but had 6 on file. LPA and licensee discussed required training hours needed ( deficiency cited, see 809D ). At approximately 10:30am LPA and Licensee conducted a spot check of medication and medication records. LPA discussed with licensee ensuring all PRN medications are listed on the Centrally Stored Medication Log. LPA and Licensee discussed Infection Control Plan. LPA and Licensee discussed Emergency Disaster Plan. 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 Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation and the Health and Safety Code. 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.