Routine inspection·March 30, 2026

On 03/30/2026, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA Pascua was greeted by Caregiver, Marlene Mclean and explained the purpose of the visit. LPA Pascua asked Caregiver Mclean to inform the Facility Designated Administrator (FDA), Marinela Placintar and explained the purpose of the visit. It was learned that a new administrator has been put in place for this facility. LPA Pascua asked FDA Placintar to inform the new administrator, Joseph Romansanta that CCL was present at this time. There was two other staff member present, Marlon Whyte and Venice Andrews. Current census was 4. This facility is licensed to serve 6 residents who are 60 and above. All 6 residents may be non-ambulatory. This facility has a Dementia Plan and has a hospice waiver for 4 residents. LPA Pascua reviewed 4 resident files. 1 out 4 resident files did not have a complete admission agreement. LPA Pascua reviewed 3 staff files. It was learned that the Facility Designated Administrators did not have a file on site. 1 out 3 staff files did not have annual dementia training as required by Title 22. The assigned Facility Designated Administrator (FDA), Joseph Romansanta has an active certificate, #6080741740 and expires on 02/22/2028. The current (FDA), Marinela Placintar also has an active administrator certificate #703557540 and expires on 06/23/2026. LPA Pascua reviewed the Medication along with the Medication Dispensing Logs with the designated staff present. Along with the staff member, the LPA observed, reviewed, and compared resident medication and electronic medication dispensing logs. LPA Pascua observed that for the month of March 2026, dates were not initiated by the facility staff for 10 out 30 days of the month. First Aid Kit was present and contained all of the required components. A tour with FDA Placintar was conducted. Fire extinguisher located in the hallway was serviced by Jorgensen Co on 06/16/2025. Dining areas, living areas, and all other areas intended for resident use were toured. It was observed that furniture and furnishings were sufficient and able to meet the needs of the residents at this time. Kitchen area was toured. LPA observed a sufficient amount of 2 day perishable and 7 day non-perishable food supply to meet the residents needs. Knives were observed to be locked and made inaccessible to the residents in care. A tour of the garage was conducted. Additional storage for supplies were identified. Additional food supply was identified. A tour of the laundry room was conducted, laundry detergent, bleach and all other cleaning supplies were made inaccessible to the residents at this time. A tour of the resident bedrooms was conducted. Resident furniture was observed to be sufficient to meet the resident needs at this time. A tour of two staff bedrooms were also conducted. A tour of the bathrooms was conducted. Hot water temperature was measured and observed to be within the required range of 105-120 degrees. The exterior of the physical plant was in good repair with no hazards present. Perimeter fence was observed to be stable and gates were in good repair. The following forms and documents were requested to be updated and submitted into CCL. -LIC 308 -LIC 400 -LIC 500 -LIC 610 -Documentation supporting administration change The following deficiencies were observed and cited on the following LIC 809-D pursuant to Title 22 Rules and Regulations, Health and Safety Code. An Exit Interview was conducted and a copy of this report and appeals rights were printed and copy was provided to the facility at the end of this visit.