Routine inspection·November 7, 2025

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required visit and met with Licensee, Eden Relota. Required postings were observed. Annual fees current. LPA/Licensee initiated a tour of the facility at 12:45pm and observed the following: flies in the kitchen area, there was no uncovered food, walls in the bathroom #2 has cracks & needed to be repaired, three garbage cans in resident rooms require covers/lids and backyard deck in disrepair. LPA had a conversation with Licensee about the importance of having facility maintained in good repair and free of insects. Hot water temperature in resident's bathrooms measured at 115.2 and 113.4 F which is within allowable range of 105 to 120 degrees F. Resident rooms were furnished per regulation. Extra linens and hygiene products were available. Medications were centrally stored and locked at time of inspection. Toxins are located in a locked cabinet in the garage. Fire extinguishers were last serviced January 2025. Smoke detectors and carbon monoxide detector throughout the facility were tested and operational. Exit doors have auditory alert system that were functional at time of visit. Last disaster drill was conducted on 8/10/2025. Facility has a portable generator. Medication and medication records were reviewed. Facility was a comfortable temperature. At approximate 12:50pm LPA/Licensee observed that washcloths were hanging on the bathroom towel bars for resident use in two resident bathrooms that are shared and the bathrooms didn’t have paper towels for resident use to help ensure sanitary hygiene care for all residents. LPA/Licensee discussed about the use of common wash cloths should not be practiced (technical violation issued). Continue on LIC809C... Continued from LIC809... At approximate 1:00pm LPA/Licensee observed that the facility did not have at least two days of perishable, but they have one week of nonperishable food was available. According to Licensee, they were going buy supplies of fruits for residents in care. LPA initiated file review at approximately 1:15pm. Three staff files and six resident files were reviewed. Residents have medical assessments and care plans updated per regulation. All staff have CPR/1st aid certificates and annual required training hours were complete. Administrator Certificate for Mechelle Relota, 7004006740, expires on 5/21/2026. Medication and medication files were reviewed. Contact information was reviewed. During file review, LPA learned about hospitalization of R1 on 9/2/25 through 9/4/25 due to fall, but review of incident reports indicates that the facility did not submit an incident report to the Department. Licensee agreed to provide updated copies of the following by 11/21/25: LIC308 - Designation of Facility Responsibility and LIC 500 Personnel Report. 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 copy of this report was given.