Routine inspection (multi-day)·October 31, 2025

At approximately 8:45 AM, Licensing Program Analyst (LPA) Frank arrived unannounced to continue a Required 1 Year visit and met with Facility Administrator Carla Lau. LPA was informed that there are currently thirty six (36) residents in care. LPA conducted a sample file review of seven (7) staff members. LPA observed that one (1) staff member (staff member S1) did not have any proof of annual training in their file. LPA also observed that one (1) staff member (staff member S3) only had 9.75 hours of the required twenty (20) hours of annual training. These deficiencies will be cited. All other staff members had appropriate documentation, proof of training and current 1 st Aid and CPR certification on file. LPA also conducted a sample file review for seven (7) residents. Upon review, LPA observed all resident files to have appropriate documentation including current Service Plans and Physician's Reports. LPA spot checked Medication for seven (7) residents. LPA observed all medications to be centrally stored, secure and with proper documentation. The facility does not handle resident’s monies for personal and incidental items. Carla Lua’s Administrator Certification 6072212740 is current with an expiration date of 9/12/2026. Continued on 809-C... ...Continued from 809 LPA is requesting the following documents submitted to CCLD by 11/31/2025: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Proof of Liability Insurance Current Admissions Agreement Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency, on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Exit interview conducted. Copy of report, LIC-809D, Plan of Corrections, 811 Confidential Names and Appeal Rights discussed and provided to Administrator Lua. Signature on form confirms receipt of documents.