Routine inspection·March 20, 2026

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with staff, Rosa Ascencio. Licensee, Leah Archer came to the facility and gave permission for caregiver to sign report. Annual fees are current. No residents receiving hospice. 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 117.3 degrees F which is within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required grab bars. Kitchen cabinet containing cleaning supplies was locked. Medications were centrally stored and locked. Fire extinguisher charged and serviced as of July 2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Exit doors have auditory alerts that were functional at time of visit. Last disaster drill was conducted on January 2026. Facility has at least two days of perishable and one week of non-perishable foods. However, LPA have a conversation with Licensee about having different fruit options other than strawberries, bananas and oranges. Required postings observed. Emergency supply of non-perishable food and water for at least 72 hours of shelter is available. At approximately 9:30am, LPA/staff observed ceiling located in the living room needs patchwork. According to staff, the Licensee has a contractor who will come to do the repairs. Continues on LIC809C... Continued from LIC809... File review was initiated at 10:00 am. Two staff files and four resident files were reviewed. Two out of five residents (R1 and R2) care plan needs to be signed by resident's responsible parties. One out of two staff (S1) did not have health screening and TB results. Staff have required First Aid and CPR certificates. Training hours were complete. Resident (R2) does not have a half bed rails order on file. There was no LIC9020 Register of facility clients/residents available (technical violation issued). LPA reviewed incident records on file are in compliance with reporting requirement regulations. At approximately 10:25am Administrator certificate for Administrator Leah Archer # 7009822740 expired on 12/23/24. LPA reviewed and confirmed that Administrator is not currently in any of the Department's list for review. Staff contacted Licensee and LPA spoke with Licensee where it was determined that Licensee has not submitted an updated application to have their certificate renewed. At approximately 11:17am, LPA/staff conducted review of medications and their records. A spot check of medications revealed that medication logs (R1, R2 & R3) have not been updated into Centrally Stored Medication Log. Licensee to submit updates of the following documents by 4/3/2026: 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 staff, Licensee was notified about deficiencies found during today's visit and a copy of the report was given.