Routine inspection·April 7, 2026

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA met with staff, Cassidy Schwab, who contacted the Licensee via telephone. Licensee, Maria Mendez, arrived at the facility at 10:24 A.M and the reason for the visit was explained. Administrator, Jennifer Fulgentes , arrived shortly after. LPA and the Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. COMMON AREAS: At the time of the visit, the common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in the hallway cabinets. The facility maintained a temperature of 70 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. LPA observed fire extinguishers to be fully charged and serviced 08/14/2025. Activities and board games were observed stored in the main hallway. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings posted throughout the home. During the plant tour, LPA observed a camera in the hallway facing residents’ rooms. According to the Licensee, the device is currently out of service and not operational. BEDROOMS: LPA observed six (6) resident bedrooms and one (1) staff room. Resident bedrooms were observed furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Staff room was inaccessible to residents in care at this time. Continued on LIC 809-C Continued from LIC 809 BATHROOMS: Bathrooms were observed to be clean and sanitary and in operating condition with grab bars and slip-resistant surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. BACKYARD: The backyard has a covered outdoor area equipped with furniture including tables and chairs for resident use. The LPA observed two (2) self-latching gates with clear passageways clear of obstruction. The LPA observed a locked shed with gardening tools inaccessible to residents in care. No bodies of water were noted at the time of the visit. GARAGE: There is an attached garage. LPA observed garage to be inaccessible to residents in care. LPA observed an additional fridge and freezer to store extra perishable food. LPA also observed additional non-perishable supplies, canned goods, PPE, extra incontinent supplies, as well as additional furniture and medical equipment for facility use. Laundry area was located in the garage as well along with an office area. KITCHEN: LPA inspected the kitchen/food service area at approx. 10:55 A.M. Knives and sharp objects are stored inaccessible in a drawer to the left of the stove. No cleaning supplies were observed stored in the kitchen area. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored at this time. Dining area was observed to be clean, and furniture appeared to be in good condition. LPA observed facility files and medication properly stored inaccessible in a cabinet next to the dining area. RECORDS REVIEW: Starting at 11:20 A.M. Six (6) resident and seven (7) personnel records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. LPA observed that Resident #1 (R1) Tuberculosis (TB) test was missing. Although an order for a chest X-Ray was on file, there was no documentation confirming completion of the X-Ray or any TB test result. Additionally, Staff #1’s (S1’s) medical assessment was misplaced. Technical Violation (TV) issued All other records were observed to be in order at this time. Continued on LI C809-C Continued on LIC 809-C MEDICATION REVIEW: Medications are centrally stored in a locked cabinet adjacent to the kitchen. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. At 1:55 P.M., LPA conducted a medication audit. Medications are properly documented on the centrally stored medications and destruction record. Medications appeared to be given as prescribed at the time of the visit. The LPA obtained the following documents at the time of visit: Personnel Report (LIC500), Resident Roster (LIC9020), last emergency disaster drill, and a copy of the facility’s liability insurance. Additionally, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. Emergency disaster drills are conducted quarterly, with the last drill conducted on 02/06/2026. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.