Routine inspection·March 10, 2026

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year inspection, at about 1:55pm on 3/10/26, and met with Administrator Manuel Ortega. LPA observed three care staff, S3, S4,and S5, on duty upon their arrival; The staff contacted the Administrator Manuel to notify them of the LPA's arrival. Currently there are six (6)residents in care. Facility has a dementia plan of operation. There is an approved hospice waiver for four (4) residents. Fire clearance is approved for six (6) non-ambulatory, of which one may be bedridden (RM #6.) Facility has a required infection control plan. Fire extinguishers, two (3), were serviced and tagged as required. Facility has a required emergency disaster plan. . LPA reviewed six (6) resident files. All files were complete, including medication records. All medications were locked up and centrally stored, as required. LPA reviewed four (4) staff files. All staff had criminal record clearance as required. All staff have first aid certification and CPR certification. Facility had sufficient lighting in bathrooms, resident rooms, hallways, and all common areas for residents in care. The home was at a comfortable temperature during the inspection. The food supply was observed to be sufficient, in perishables and non-perishables. The facility was clean and orderly. Bathrooms had grab bars, and non-slip mats/flooring in showers for resident use. Facility had sufficient furnishings for residents' use. Facility hot water was measured at 114.8 degrees Fahrenheit. Backyard was clean and orderly, with patio/yard furnishing for resident use as wanted. Continued on LIC809C... LPA is requesting the following documents be updated and submitted by 4/10/26: LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610E-Emergency Disaster Plan (ensure to review and update as needed/required-no changes submit copy of review page) If changes submit plan copy Infection Control Plan (ensure to review and update as needed/required- no changes submit copy of review page)- If changes submit plan copy LIC400 Handling of Client Cash Resources (include copy of surety bond if handling cash) Current Liability Insurance Resident Roster Copy of current Administrator Certificate The following deficiency was observed by the LPA during the inspection: Upon LPA's arrival to the facility, while standing at the front door, the LPA heard a staff speaking to a resident in an inappropriate manner, speaking in a very loud irritated voice at the resident. LPA questioned staff once inside the home. In summary, staff S3 stated that they were speaking with resident R1. S3 stated that the resident was trying to go outside of the front door and this is why they were speaking that way. LPA stated they were speaking so loud and irritated at the resident, and S3 stated that it was because the resident was trying to leave that's why. LPA discussed personal rights of residents in care with the staff. Resident R1 needs redirection by staff and/or the staff to follow the resident out and redirect them back inside the facility. Staff are not to raise their voice at the resident and/or yell at them. T his deficiency will be cited, 87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities-In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs, see LIC809D. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited: Failure to correct deficiencies as required may result in civil penalties being assessed. Exit interview conducted with the Administrator Manuel Ortega. Appeal Rights provided with LIC809 report.