Routine inspection·February 12, 2026

Licensing Program Analyst (LPA), Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Licensee Josephine Blancaflor. Required postings were observed. Annual fees current. There is one resident receiving hospice services. LPA/staff toured the facility at 9:00 am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Water temperature in resident's bathroom measured at 105.3, 115.7 and 116.2 degrees F which are within regulations. Extra hygiene products and linens were available. Bathrooms had required bath mats and grab bars. Residents were observed participating in activities in common areas. Cabinets containing cleaning supplies 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. Last disaster drill conducted on 12/13/25. At approximately 9:15am LPA/staff observed that washcloths were hanging on the bathroom towel bars for resident use in two out of three resident bathrooms that are shared by residents. LPA/staff observed that the bathrooms didn’t have paper towels for resident use to help ensure sanitary hygiene care for all residents. Licensee put paper towels in the bathrooms and LPA explained that regulation states that the use of common wash cloths and towels shall be prohibited. File review was initiated at 9:30am. Three staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates, training records were reviewed. Continue on LIC809C... Continued from LIC809... Residents receiving hospice services had a care plan that appears to be accurate to services being provided. Residents' care plans seems to have a person-centered approach and they are updated. Medical assessments are current and included a description of any known behavioral expression. Administrator Certificate for Licensee Josephine Blancaflor, 6015304740 expires 7/14/26. Medication & records reviewed. At approximately 10:00am, based on records review, resident's (R1) physician report (LIC602) dated 10/17/25 indicates that R1 has a history of pressure injury right heel. Although R1 does not currently have a pressure injury in their right heel, it should be documented and monitored by staff in their care plan. LPA had a conversation with the Licensee regarding the importance to constant monitoring of skin condition due to R1's history (technical violation issued). Also at approximately 10:15am, resident (R2) care plan indicates that they are two people assist, but R2's physician report (LIC602) dated 5/20/25 reveals that R2 has an ambulatory status and needs assistance with activities of daily living. Although R2's physician report does not indicate that R2 needs two people assistance, LPA reviewed current LIC500 Personnel Report does not reflect two staff on duty at night shift. Per Licensee, R2 was at one point needing two people assistance, but as of today, one staff is able to assist R2 with their ADLs including transferring, Licensee have staff on duty demonstrate to LPA that R2 was able to be assisted by only one staff while R2 was in the dining room, staff transfer them to their bedroom using a wheelchair. LPA instructed Licensee to obtain an updated physician report (LIC602) to have R2's physician determine the current status and needs of R2, because clearly R2 had a change of condition that resulted in R2 is no longer ambulatory. At approximately 10:30am, LPA/Licensee observed that staff (S1) did not have a TB tuberculosis test on file in their LIC503 Health Screening form dated 2/11/26. Per Licensee, the health appraisal agency that performed the test have not send them the results. However, Type of TB test performed is not marked on the LIC503 form indicating that the test was done. Licensee submitted updates of the following documents: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and 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 Licensee and a copy of this report was given.