Routine inspection·January 27, 2026

Licensing Program Analyst (LPA) Alviso conducted a Required- 1 Year visit, on 1/27/26 at approximately 9:20am, and met with Administrator Armela Monte. LPA observed two caregivers on duty upon arrival. Licensee, Laarnie Lockerbie, arrived to the facility during the LPA's inspection. Facility has an approved fire clearance for six (6) non-ambulatory residents. There are five (5) resident rooms, and one of them is a shared room. Facility has a required infection control plan. Facility has a required emergency disaster plan. Hospice waiver approved for two (2) residents'. Per review of records, emergency disaster drills are being conducted; Last drill was conducted on 11/12/25, a fire drill. Fire extinguisher (1) was showing charged (showing green marker), and was tagged. All exits were free and clear from obstruction. All exits had auditory alarms. The carbon monoxide detector worked appropriately during the inspection. All smoke alarms worked appropriately during the inspection. LPA reviewed six (6) resident files. All files were complete. LPA reviewed five (5) staff files. All staff have criminal record clearance as required. All staff have first aid certification, and CPR certification. LPA reviewed staff training. Administrator certificate is current for Armela Monte-#6071239740, expires 7/8/26. The Administrator, and the Licensee, toured the facility with the LPA. The food supply was sufficient. Sufficient supply of linens, hygiene products, cleaners/disinfectants, paper products, and personal protective equipment (PPE). The facility was at a comfortable temperature during the inspection. The facility had sufficient lighting throughout the home, in bathrooms, hallways, resident rooms, and in all common areas. Hot water was measured at 109.9 degrees Fahrenheit. There were grab bars, and mats for resident use. Disinfectants/cleaners were locked up and inaccessible to residents in care. All medications were locked and inaccessible to residents in care. The backyard had patio furniture, table and chairs, for residents' use. All walkways/pathways in the yard were free and clear of obstructions. The fire exit gate opened freely for use as needed/in an emergency. Continued on LIC809C... LPA is requesting the following documents be updated and submitted by 2/27/26: LIC308 - Designation of Administrator Responsibility LIC500 - Personnel Report LIC610D -Emergency Disaster Plan (9 pages)- review & update as needed- submit a copy if changes or submit copy of last page if no changes (signed/dated) Copy of Current Liability Insurance Infection Control Plan-review & update as needed- submit a copy if changes or submit copy of last page (signed/dated) if no changes. Poster of Residents Copy of current Administrator Certificate LPA observed the following deficiencies: Per LPA's records review, Resident R6 is identified by the Physician as bedridden/bed bound, and needing total care, per medical assessment dated 10/30/2025. The facility does not have a fire clearance bedridden approval to retain a bedridden resident. This deficiency will be cited, 87202(a)(2) Fire Clearance- All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal, "bedridden persons", see LIC809D. Immediate Civil Penalty fine will be assessed in the amount of $500, see LIC421IM. Per LPA's review of records, the medication training documentation had no count of hours/time spent for the staff's training. Administrator was not able to provide staff, S2, S3, S4, and S5’s, medication "initial hours" of training . This deficiency will be cited, 1569.69(a)(2) HSC Medication Training-In facilities licensed to provide care for 15 or fewer persons, the employee shall complete 10 hours of initial training. This training shall consist of 6 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 4 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first two weeks of employment, see LIC809D. 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, Armela Monte; Appeal rights provided.