Routine inspection·January 26, 2026

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with back up administrator, Azenette Gregoire. Annual fees are current. LPA/staff 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 bathroom measured at 113.1 and 113.8 degrees F which are within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cleaning supplies stored under kitchen sink and in outside laundry room were inaccessible to residents in care. Knives and other items that could pose a risk were locked. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was last inspected May 2025. Smoke detectors and carbon monoxide detector located throughout the facility were tested and operational. Exit doors have auditory alert system and were functional at time of visit. Medications and medication records were reviewed. Required postings observed. LPA initiated file review at 9:30 am. Four staff files and four resident files were reviewed. Two out of four staff (S1 &S2) do not have required CPR/1st aid (technical violation issued), but all staff have their 20 hours annual training hours completed. Two out of four residents' (R1 & R2) care plans and medical assessments were not updated within the last 12 months. Continues on LIC809C... Continues from LIC809... Administrator Certificate is for Conchita Mejia-Chistiakoff #6001288740 Exp. 3/28/2023. Back up administrator Certificate for Administrator, Azeneth Gregoire, 6033722740, expires on 11/11/26 is current. LPA was provided with the following required documentation needed for the change of administrator: LIC 308 Designation of Facility responsibility, Administrator Resume (in small facilities if possible), LIC 500 Personnel Report (stating the numbers of hours when Administrator will be present at the facility), LIC 501 Personnel Record and Copy of Administrator Certificate (technical violation issued). LPA followed up with the Licensee and back up administrator/applicant regarding change of ownership update and LPA was informed that they are still in the process of submitting required documentation to the department. LPA provided eviction notice procedures and regulation for them to review and submit timely. Licensee will submit updates of the following documents by 2/20/26: Liability Insurance Certificate. 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 back up administrator and a copy of this report was given.