Routine inspection·October 28, 2025

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 9:57AM. The LPA met with the Administrator Marisol Flamenco and the Licensee Rashita Aggarwal arrived shortly thereafter. Entrance interview conducted. Beginning at 10:21AM, the LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA observed knives stored inaccessible in a locked drawer. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable and non-perishable food, as well as emergency food and water. Food in the refrigerator and freezer were observed to be properly stored with labels and dates. Resident files and supplies were stored inaccessible in a cabinet near the refrigerator. COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The living room had an electric fireplace that is not utilized. Required postings were located on the entryway wall and dining area. The facility maintained a comfortable temperature throughout the visit. The facility had a laundry room with machines in good condition. Laundry detergent and facility cleaning supplies were stored locked in a cabinet located in the laundry room. There was a garage that contained general storage and remained locked. Report Continued on LIC 809-C The LPA observed a built-in wall with two (2) rooms in the garage. One (1) room was utilized by Staff and the second room contained storage. The Licensee stated they added the wall and rooms earlier this year and did not obtain building permits or notify Community Care Licensing (CCL). BEDROOMS/RESTROOMS: Inside the home, there were nine (9) bedrooms; six (6) private resident bedrooms and three (3) locked staff bedrooms. Bedrooms #1, #3, #5, and #6 have direct exits to the outside with all bedrooms cleared for a total of six (6) bedridden residents. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens were stored in the hallway cabinets. The facility’s floor plan provided to CCL indicated two (2) staff rooms; however, during the visit the LPA observed a total of four (4) staff rooms. The Licensee stated that the bedrooms existed prior to the change of ownership, and the floor plans should be accurate. CCL’s floor plan and the posted floor plans around the facility were not accurate/updated. Additionally, the facility did not obtain fire clearance for the additional staff rooms. There were four (4) total restrooms in the facility: two (2) private resident restrooms and two (2) common area restrooms. Restrooms were clean, sanitary, and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hot water was tested and measured between 105.8 degrees F and 106.7 degrees F. OUTDOOR AREA: The surrounding grounds had a shaded patio area equipped with furniture in good condition for residents’ use. There was one (1) emergency exit located on one side of the facility with a self-latching mechanism. The opposing side of the property also had a self-latching gate. The side exits and passageways were not free of obstruction and contained furniture which included mattresses, bed frames, dressers, and buckets. The Licensee’s maintenance men arrived and cleared the passageways during the visit. The LPA also observed three (3) window screens in disrepair with rips and one (1) window did not have a screen. Report Continued on LIC 809-C RECORDS: Record review began at 10:53AM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Two (2) out of six (6) staff reviewed were not associated to the facility. The Licensee stated that one (1) staff worked at the facility for one (1) month and has primarily worked at their subsequent facility. The LPA explained that all staff and/or volunteers are required to be fingerprint cleared and associated with the facility prior to working at the facility. INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and reviewed annually as required. Emergency disaster drills are conducted quarterly, with the last documented drill on 09/27/2025. Smoke and carbon monoxide detectors were tested at 12:43PM and were operational. Fire extinguishers were observed throughout the facility and was last serviced on 10/04/2025. MEDICATIONS: Medication review began at 12:46PM. Medications were centrally stored and kept inaccessible in a locked closet located in the hallway. Medications were observed for two (2) residents. Medications were labeled and checked for expiration dates and were properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. An immediate civil penalty of $500 for a violation of the facility’s fire clearance was issued (Refer to LIC 412M). The Licensee understands that continued violation of the facility’s fire clearance may result in additional civil penalties. Report Continued on LIC 809-C An immediate civil penalty of $100 per day for a maximum of five (5) days in the amount of $1000 for employment without a criminal record clearance, exemption, or transfer was issued (Refer to LIC 421BG). The Licensee understands that continued employment without clearance may result in additional civil penalties. Pursuant to Title 22 CA Code of Regulations and/or the Health and Safety Code, the following deficiencies were cited (Refer to LIC 809-D). Exit interview conducted. A copy of the Appeal Rights and report was reviewed and provided.