Routine inspection·June 12, 2025

On 06/12/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA met with saff member(SM), Terri Salcido and explained the purpose of the visit. LPA asked that SM Salcido call the Facility Designated Administrator (FDA), Johanna West that CCL was present at this time. It was learned that FDA was no longer with the company. Shortly after, LPA met with the new Facility Designated Administrator, Jamie Rolando Andrade and explained the purpose of the visit. This facility is licensed to serve up to 6 elderly residents. Current census was 4. Upon arrival LPA Pascua observed 1 resident sitting outside and 3 other playing a card game at the dining table. Shortly after, all residents went out on a walk with facility staff. LPA reviewed 4 resident files. LPA reviewed 4 staff files. LPA reviewed 4 staff files The FDA does not have an active administrator certificate on file at this time. However, LPA had advised for the following documentation to update the administrator: -A letter from the licensee appointing the individual as the Administrator. -LIC 308 -Copy of the current Administrator certificate -Documentation verifying that the individual meets education/experience -LIC 200 signed by the licensee -LIC 500 -LIC 501 A tour was initiated. Fire extinguisher was serviced by Jorgenson Co and is valid until 06/09/2026. Smoke alarms and carbon monoxide were in good repair. It was observed that the facility has recently gone through major renovations, such as the facility bathrooms, resident bedrooms and back yard. It was observed that all resident bedrooms have been furnished with new bedroom furniture that meets the residents needs at this time. Kitchen area was toured. It was observed that there was a 2 day perishable and 7 day nonperishable food supply. Toxins and knives were made inaccessible at this time. Hot water was taken to ensure that it within the require regulatory standards between 105-120 degrees. Grab bars were present and in good repair. All living areas, dining areas, and other areas intended for resident use were toured and met the residents needs at this time. The garage area was toured, washer and dryer were identified. Laundry detergent, bleach, and all other cleaning supplies were observed to be locked and made inaccessible to the residents at this time. Additional food supply was also observed. A tour of the exterior physical plant was conducted. Perimeter fence, side gates, and exits was inspected and in good repair. It was observed that the facility was currently obtaining a new awning at this time. Medications were reviewed. First aid kit was reviewed and held all the required components. The following forms and documents were requested to be updated and submitted into CCL: -LIC 308 -LIC 400 -LIC 500 -LIC 610 -Liability insurance Per California Code of Regulations (CCR) - Title 22, Division 6, Chapter 8, no deficiencies were observed. An exit interview was held, and a copy of the report was provided.