Routine inspection·March 4, 2026

Licensing Program Analyst (LPA) Zabel Chochian conduct a required annual visit. Upon arrival, the LPA was greeted by (2) staff. Reason for visit was stated. Administrator, Viveca Lim was contacted. Beginning at approximately 11:00 a.m. LPA toured the physical plant areas inside and outside with staff to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Knives and sharps were observed inaccessible in a kitchen drawer. Cleaning supplies were observed under the kitchen sink inaccessible to residents in care. Kitchen appliances were in operable condition. Sufficient two-day perishable and seven-day non-perishable supply observed. GARAGE: The garage was locked and inaccessible to residents at the time of the visit. The LPA observed an adequate amount of emergency food and water. Washer and dryer were observed inside the garage. There is an additional refrigerator with adequate food; properly stored. Additional cleaning supplies are kept in the garage locked and inaccessible to residents in care. COMMON AREAS: Furniture in the common areas observed to be in good condition. The facility maintained a comfortable temperature. The LPA observed the fire extinguisher to be fully charged with a date of 01/13/2026. Required postings observed throughout the common space. Activities were observed in the common area. There is a working telephone on premises. Clean linens and towels observed in the hallway closet. Fireplace is appropriately screened. BEDROOMS: There are four (4) bedrooms for resident use. Two (2) bedrooms are designated as single occupancy, and two (2) bedrooms are designated as double occupancy. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. The LPA observed a staff bedroom on premises. Continued on LIC 809C. RESTROOMS: There are three (3) restrooms for resident use. First bathroom is located by the front entrance; second bathroom is located between bedrooms #2 and #3; and third bathroom is located inside bedroom #3. Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. Starting at 09:46 a.m., the hot water temperature was measured in all bathrooms, and they measured between 117.1 and 119.3 degrees Fahrenheit. BACKYARD: The backyard has a covered patio area with patio furniture for resident use. All passageways were observed to be clear of any obstructions. There are two (2) side gates with latching mechanisms. No bodies of water noted at the time of the visit. No obstructions or hazards were observed inside or outside the facility. RECORDS: The LPA reviewed Resident Records and Staff Records starting at 12:15 p.m.-1:15 p.m. Four (4) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, Consent for Treatment form, and current needs and services plan. Three (3) personnel files including the current Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate yearly training. All records were in order. Current Administrator’s Certificate expires on 11/26/2027. The facility’s policies and procedures as it pertains to infection control are adequate. The facility's emergency and disaster plan was observed to be complete and recently reviewed/updated. Emergency disaster drills conducted quarterly as per regulation; the last one being an earthquake and fire drill which was conducted on 01/06/2026. MEDICATIONS: Medications review began at approximately 1:30 p.m - 2:45 p.m. Medications are centrally stored and kept in a locked cabinet by the kitchen. Three (3) resident medications and records were reviewed. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications appeared to be given as prescribed at the time of the visit. During today’s visit, the LPA interviewed three (3) residents. Two (2) out of the three (3) residents were able to converse with LPA. No concerns were noted. No citations issued. Exit interview conducted. A copy of the report was issued.