Routine inspection·September 16, 2025

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, LPA met with staff and explained the reason for the visit. Administrator Maria Calles arrived shortly after. LPA 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. At approx 09:45 a.m. The LPA inspected the kitchen/food service area. Kitchen appliances appeared clean and to be in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food properly stored.  Food labels were inspected and checked for dates and expiration dates. The knives and sharp objects were observed locked and inaccessible underneath the sink. Medication cabinet was located in the kitchen area. LPA observed cabinet to be locked and inaccessible to residents in care. There are six (6) total bedrooms in the facility; one (1) is designated as a shared room; four (4) are designated as private resident rooms; and one (1) is a staff room.  All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting.  LPA observed a closet with additional clean linens, blankets, and towels for resident use. The  resident bathrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. 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 a hallway closet. There is a cabinet adjacent to the living room with resident’s personal hygiene items locked at the time of the visit. LPA observed staff rooms to be empty as well as locked and inaccessible to residents in care. The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. There is an office area located next to the kitchen.  Facility files were observed stored inaccessible to residents in care. LPA observed board games, books and other activities stored in dining area. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common areas. There is an attached garage observed inaccessible to residents in care.   There is a washer and dryer inside the garage. Cleaning supplies, detergents, and toxins were observed in a locked cabinet inaccessible to residents in care. Facility has an adequate amount of emergency food and water. LPA observed a thirty (30) day supply of Personal Protection Equipment (PPE). The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed two (2)  self-latching gate with clear passageways clear of obstruction. There were no bodies of water observed during the visit. Records review, five (5) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. Records were observed to be in order at this time. Four (4) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. At approx 11:15 a.m. LPA observed Staff #1 (S1) has criminal record clearance, but was not associated to the facility. Medications review: medications are centrally stored and locked inside a cabinet in the medication room.   All medications including PRNs were labeled, stored and locked inaccessible to individuals. PRNs have physicians order on file. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during medications review. During today's visit, LPA reviewed the facility's infection control policy as well as the emergency disaster plan. The facility’s policies and procedures as it pertains to infection control are adequate. Fire extinguisher was observed fully charged and last serviced 03/06/2025. Carbon monoxide detectors are wired and operational at the time of the visit. Continued from 809-C Emergency disaster drills conducted quarterly as per regulation; the last one conducted was a fire drill in August. LPA obtained the following documents at the time of visit: LIC500 Personnel Report, LIC9020 Client Roster, and facility’s liability insurance Interviews were conducted during the visit. The following deficiency was observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. An immediate $500 civil penalty issued today for facility staff not having fingerprint clearance. Exit interview conducted. A copy of the report and appeal rights were provided.