Routine inspection (multi-day)·January 20, 2026

Licensing Program Analyst (LPA) Alviso conducted a continued annual inspection, on 1/20/26 at approximately 1:55pm, and met with Administrator Monicah Gacegu. Fire clearance is approved for eight (8) non-ambulatory only. Currently there are five (5) residents' in care. Facility has an approved dementia plan of operation. There is an approved hospice waiver for three (3) residents. The facility has a required infection control plan. The facility has a required emergency and disaster plan. LPA reviewed five (5) resident files, including storage of medications and medication records. All files were complete. LPA reviewed resident's hospice file, including medication orders. LPA reviewed three (3) staff files, including training. All staff have required criminal record clearance. All staff have first aid and CPR certification. LPA toured the facility with Licensee Monicah Gacegu. The LPA observed that the facility was at a comfortable temperature during the inspection. The facility had a sufficient supply of food. There is a cabinet in the kitchen to lock all medications and make them inaccessible to residents in care. Disinfectants/cleaners were locked up and inaccessible to residents in care. Facility had a sufficient supply of paper products, linens, soap, sanitizer, hygiene products, and personal protective equipment (PPE). There was sufficient lighting in hallways, resident rooms, bathrooms, and common areas. Bathrooms had grab bars, and non-skid mats for the shower for residents' use. Facility had sufficient furnishings for resident use. All facility utilities were on, and working as required. Continued on LIC809C.. The backyard fire gates on each side of the yard were clear and unobstructed as required. All walkways were clear. LPA observed the following deficiencies during the inspection: Licensee/Administrator's certificate expired 4/2025, and they were not able to provide a current certificate/a renewal of the certification. Administrator showed copies of their classes they had completed back in April 2025, but there is no record of the classes in the administrator certification unit website, per LPA's review. Licensee/Administrator was not in the administrator application renewals list, in the active certificates or the pending certificates. LPA provided the website link, including the application portal, for administrator certification renewals. This deficiency will be cited, 87407 (d) Administrator Recertification Requirements -To apply for recertification prior to the expiration date of the certificate, the certificate holder shall submit to the Department’s Administrator Certification Section, post-marked on, or up to ninety (90) days before, the certificate expiration date, see LIC809D. LPA measured the water in a resident bathroom sink, it was 134.4 degrees Fahrenheit, which is above regulation compliance, no lower than 105. degrees and no higher than 120.degrees. Maintenance and Operation Section 87303(e)(2)-Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted with Administrator Monicah Gacegu. Appeal rights were provided.