Routine inspection·December 2, 2025

Licensing Program Analyst (LPA) Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Erica Campos, Lead Staff and Aida Reznik, Licensee arrived later. There are three residents receiving hospice services. Annual fees are current. Required postings observed. LPA/staff initiated a tour of the facility at 9:00 am and made the following observations: Facility was a comfortable temperature, well lit and passageways were free from obstructions. Resident rooms were furnished per regulation. There are portable heaters observed in resident's rooms. Per staff, the room is shared by two residents who have different preferences regarding the temperature of the room (technical violation issued). Water temperature in bathrooms used by residents measured at 108.1, 114.8 and 115.3 degrees F which are all within allowable range of 105 to 120 degrees F. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. However, bathroom's and resident's garbage cans do not have well-fitted covers to prevent the spread of any communicable disease. Last year, LPA discussed with the Licensee the importance of having garbage cans with covers and technical violation was issued. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked in the medication room. Four out of six fire extinguishers were last inspected January 2025. According to lead staff, it appears like the remaining two fire extinguishers were missed when the vendor came to service the other extinguishers. Facility has a centralized smoke alarm and sprinkler system that is maintained by a vendor. The most recent inspection was conducted November 2025. Carbon monoxide detectors were tested and operational. Exit doors have auditory alerts that were functional at time of visit. Each resident has a pendant to alert staff if the resident needs assistance. Last Disaster Drill was conducted on September 12, 2025. Continues on LIC809C... Continued from LIC809... LPA initiated file review at 9:30 am of 5 staff files and 7 resident files were reviewed. All staff have required First Aid and CPR certificates and annual continuation training hours were complete. All residents' medical assessments were updated. Two out of seven resident's care plans were not signed by their responsible party as required per regulation. Administrator Certificate for Licensee/Administrator Aida Reznik, 7010118740, expires on 4/11/27. Activity Calendars and Weekly Menus posted. Medication and medication records were reviewed. Licensee previously provided updates of the following: Designation of Administrative Responsibility (LIC308), Personnel Record (LIC500) and 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 was conducted with Licensee and a copy of this report was provided.