Routine inspection·July 8, 2025

At 10:45 a.m. Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. The LPA was greeted by Administrator Graciela Castillo and informed them of the reason for the visit. At 11:00 a.m. the LPA conducted a tour of the physical plant with the Administrator to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a single-story residence that consists of three (3) resident bedrooms, and two (2) restrooms. The LPA observed one (1) fire extinguisher which was fully charged and purchased on 01/28/2025. All smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings in the hallway near the entrance area. Kitchen : The facility has at least seven (7) day supply of non-perishable food and two (2) days perishable food. Appliances and all equipment appear to be clean and in good repair. Kitchen knives, sharps, and cleaning supplies were observed under the sink locked and inaccessible. Bedrooms: Each bedroom is equipped with clean mattresses, pillows, and bedding. There is a closet in the hallway with a sufficient supply of linens, including blankets, bath towels and wash cloths. Bedrooms have sufficient lighting. Bathrooms: The LPA observed both bathrooms, properly supplied and had functional fixtures. The LPA observed grab bars and non-skid mats in all bathrooms. At 11:07 a.m. water temperature in the common restroom was measured at 110.3 degrees Fahrenheit and at 114.8 degrees Fahrenheit in the residents room bathroom. Report will continue on LIC9099-C, 2nd page. Common Areas: The living areas and dining areas are clean and properly furnished. All window screens and coverings are in good repair. Enough seating for six (6) residents at the same time in the dining room table. A working telephone is present. There are activity supplies in the living room. Night-lights were present in the hallway and main bathroom. All doors have functioning auditory alarms when opened. The garage: The garage is attached to the house and is locked. The washer and dryer was observed inside the garage. Detergents, disinfectants, and cleaning supplies are stored in a locked cabinet. There is a sufficient supply of emergency food and water. Surrounding Grounds (Outdoors) : The LPA observed the backyard, which has a covered outdoor area with a table and chairs for resident use. The exterior passageways were clean and clear of any obstructions. There is one (1) self-latching gate for emergency use. There are no bodies of water on the premises at the time of the visit. Record Review: At 11:30 a.m. a review of facility files was initiated. The LPA reviewed four (4) out of four (4) resident files. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. All records were in order. The LPA reviewed five (5) out of five (5) Personnel files. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were in order. Facility records are stored in the locked closet in the living room. The LPA observed documentation of Infection Control, Disaster prevention and last Disaster drill (conducted on 07/01/2025). The LPA obtained Client Roster, Staff Roster and Insurance liability. Medication Audit: At 2:00 p.m. the LPA conducted Medications audit for two (2) residents. The medications are locked in a locked closet in the living room. Medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record I nterviews: The LPA conducted two (2) resident and one (1) staff Interviews. No immediate concerns were voiced. No citations issued. Exit interview conducted. A copy of the report was provided.