Routine inspection·September 22, 2025

On 09/22/2025, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to this facility to conduct an annual visit. LPA was greeted by Staff Member (SM), Paulette Williams and explained the purpose of the visit. LPA asked SM Williams to call the Facility Designated Administrator (FDA) Venice Andrews to inform them that CCL was present. Shortly after, LPA met with FDA Venice Andrews and explained the purpose of the visit. There was one other staff member present during the course of this visit, Raffy Corla. Current census was 6. A brief interview with FDA Andrews was conducted. LPA reviewed 6 resident files and 3 staff files. All files were complete and up to date. The Facility Designated Administrator, Venice Andrews, does have an active administrator certificate. A tour of the facility was conducted. A tour of the living room, dining room, and other areas intended for resident use were conducted. Furniture and furnishings were observed to be in good repair and meet the residents needs. 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 were conducted. Hot water temperature was taken to ensure compliance with Title 22 regulations. A medication cabinet was located in the kitchen. Along with the Facility Designated Representative, LPA observed, compared, and reviewed medication with medication dispensing logs. First aid kit was reviewed and had all the required components. Fire extinguisher was observed and was last serviced by Jorgenson Co on and is in compliance at this time. Smoke detectors and carbon monoxide was observed to be in working condition. 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 As a result of this visit, no deficiencies were observed or cited during this annual visit. An exit interview was conducted and copy of the 809 and 809-C was provided to the facility at the end of this visit. An exit interview was held, and a copy of the report was provided in-person.