Routine inspection·March 19, 2026

Licensing Program Analyst (LPA) Kelly Dulek conducted a required annual inspection. LPA met with facility staff Marlene Santos. LPA explained the reason for the visit. Staff contacted the licensee representative Adelaida (Aida) Cruz who arrived at the facility at 02:48 p.m. Beginning at 12:05 p.m., LPA along with staff, 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. The following was observed: Fire extinguishers appeared fully charged and were last serviced on 08/22/2025. Carbon Monoxide detector was tested at 01:27 p.m. and the smoke detectors were tested at 1:25 p.m. and all were functional at the time of the visit. KITCHEN : LPA observed the kitchen to be clean and appliances appeared to be functional. The knives were locked in a drawer. The dish soap and cleaning detergent was stored in a locked cabinet under the sink. The facility had a sufficient amount of perishable and non-perishable food. LAUNDRY ROOM: The laundry room is adjacent to the kitchen. There are two doors leading to the laundry room which are kept locked unless staff are using the room. The emergency supply of non-perishable food and water is kept in the laundry room, as well as a freezer for extra food storage. Laundry detergent is kept in a locked cabinet above the washer and dryer. COMMON AREAS : This includes the living room and dining room areas. LPA observed common area to be clean and properly furnished at the time of the visit. The fireplace was screened. LPA observed cameras in the common areas. Report Continued on LIC 809-C BATHROOMS : There are two (2) bathrooms for resident use and one (1) for staff use. Resident restrooms were observed to be equipped with slip-resistant surfaces. Grab bars were observed in the bathrooms. The bathrooms had toilet paper, paper towels and wipes. The hot water temperature was measured at 113.2 degrees Fahrenheit. BEDROOMS : There are six (6) resident bedrooms designated for private resident use. There is also one staff room. There is another staff room at the front of the house used for storage. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. LPA observed that Resident #1 (R1) who is non-ambulatory is residing in Room #5, which has a fire clearance for ambulatory only. OUTDOOR SPACE: The backyard has a patio area with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. There were no bodies of water on the premises. Two (2) locked sheds were observed in the outdoor area, which are used for storage. RECORD REVIEW: LPA reviewed five (5) residents' files. Records were complete. Staff records were reviewed for three (3) staff. All records were complete, including training records and CPR/first aid. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Emergency disaster plan was complete and reviewed annually as required. Emergency evacuation drills are conducted with staff quarterly with the last drill conducted on 01/30/2026. MEDICATION REVIEW: Medications for two (2) residents were observed. All medications observed were labeled, stored, and properly documented at the time of the visit. Medications are stored in a locked hall closet. INTERVIEWS: During today's visit, LPA interviewed two (2) staff and two (2) residents. No concerns noted. Pursuant to Title 22 CA Code of Regulations, the following deficiency was cited (refer to LIC 809-D). Civil penalty issued in the amount of $500. Licensee representative was informed that failure to correct the deficiencies may result in additional civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided. A copy of today's report was provided.