Routine inspection·April 2, 2026

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Robertson Cirineo, Administrator; Josephine Credo, Licensee arrived later. Once inside the facility, LPA/Administrator observed construction crew members present in the hallway near lateral exit making loud noise replacing the hallway flooring, while there were seven residents in the adjacent living room playing bingo, there were no posters alerting residents about construction zone, all materials and equipment were inside unlocked and accessible to residents in care. According to Administrator, construction crew members are only allowed in the construction area. Upon Licensee's arrival, LPA inquired about expectation of completion of the project and was told that expected time to be 4/3/26. However, Licensee did not report to the Department about the flooring replacement project and staff present were not observed reminding residents continuously to make sure that they are not going through the construction area. LPA requested written plan to be submitted to CCL and proof that resident's responsible parties were notified. The facility is not ensuring the health and safety of residents in care while the construction occurs. There are currently residents with a diagnosis of Dementia. Licensee instructed all staff present to frequently remind residents to be cautious when passing by flooring replacement area. At approximately 1:00pm LPA/Licensee observed water temperature in resident's bathroom measured at 158.5, 158.5, 160.7 degrees F in the main building and 108.1 degrees F in the back building which are not within allowable range of 105 to 120 degrees F. Licensee printed signs to post in faucets used by residents and adjusted water heater. Continue on LIC809C... Continued from LIC809... LPA/Licensee toured the facility and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Five out of five fire extinguisher were last inspected July, 2025. Facility has a centralized smoke detector system that was last tested September 8, 2025. Carbon monoxide detector was tested and operational. Exit doors have auditory alert system and were functional at time of visit. Medications were centrally stored and locked. Facility has a generator to supply power during an outage. Facility has enough food supplies including water to operate for more than 72 hours during an emergency. Last Emergency Disaster Drill was conducted on 3/26/26. Required postings were observed. Annual fees current. Hospice waiver approved for four residents. LPA initiated file review at 10:00 am. Five staff files and ten resident files were reviewed. Staff files reviewed have required First Aid and CPR certificates and training hours complete. However, LPA had a conversation with the Licensee because three out of five staff (S1, S2 & S3) presented a CPR/1st aid certificate dated today, where two out of the three staff were observed the morning assisting residents in care with activities of daily living and not attending to such training. According to Licensee, staff have already taken the training prior to today's date, but the certificate reflects today's date because today is the day when payment was submitted. Seven out of ten (R1, R2, R3, R4, R5, R6 & R7) needs and services plan needs to be updated. One out of ten residents (R1) needs an updated medical assessment. Administrator Certificate for Administrator, Robertson Cirineo, 7012701740, expires on 10/3/26. Medications and medication records were reviewed. There was no Register of Clients (LIC90920) form on file as stated per regulation. 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 was conducted with Licensee and copy of report was provided.