Post-licensing visit·December 1, 2025

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a post licensing visit. Upon arrival, the LPA was greeted by staff who then contacted the Administrator telephonically. The Administrator, Maaya Marri arrived at approx. 11:00 a.m., and the reason for the visit was explained. Entrance interview. Beginning at 11:05 a.m., 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 kitchen/food service area was observed at approx. 11:25 a.m. Knives and sharps were observed in a locked drawer. Cleaning supplies and other chemicals are kept locked under the sink area. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. There are five (5) bedrooms in the facility for resident use; four (4) bedrooms are designated as private, single occupancy rooms, and (1) bedroom is designated as a double, shared occupancy room. All passageways were observed to be clear of obstructions. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. Additional clean linens and towels are available for resident use in a hallway closet. There are two (2) restrooms in the facility. Restrooms were observed to be clean and in sanitary condition. Grab bars and slip resistant floor were observed. Restrooms were sufficiently stocked with supplies and paper towels. Report Continued on LIC 809C... Report Continued from LIC 809... The hot water temperature was measured starting at 11:18 a.m., and they measured outside of the required range of 105 – 120 degrees Fahrenheit. The Administrator adjusted the water temperature during today’s inspection. The LPA observed the garage which was inaccessible to residents at the time of the visit. There is a washer and dryer inside the garage. Toxins and detergents were observed locked and inaccessible at the time of the visit. A sufficient supply of emergency food and water was observed. The LPA observed the common area. This includes the living room and a dining room. At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. The fire extinguisher was observed to be new with a purchase date of 08/27/2025. LPA observed required postings throughout the common space. Activities were observed in the common areas. There is a functioning telephone on the premises. Fireplace was observed to be adequately covered at the time of the visit. The backyard has a covered patio area with shade, patio furniture including tables and chairs for resident use. All passageways were observed to be clear. LPA observed one (1) self-latching gate. No bodies of water noted at the time of the visit. Record review began at approx. 11:40 a.m. Six (6) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, PRN authorization letters, and current needs and services plan. Files were complete. Three (3) personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. The Administrator’s Certificate is valid until March 2027. At approx. 12:40 p.m., LPA reviewed Guardian and observed that Staff #1 (S1) has started the criminal record clearance, but it is still in process and Staff #2 (S2) does not show a criminal record clearance on file. Interviews revealed that S1 and S2 have been working at the facility for one (1) day. S1 and S2 left during today’s inspection. Report Continued on LIC 809C... Report Continued from LIC 809C... During today’s visit, LPA reviewed the facility’s emergency disaster plan. Emergency disaster drill are being conducted quarterly as per regulation; last one conducted on 09/01/2025. Medications are centrally stored in a cabinet adjacent to the living room. Medications appear to be administered as prescribed at the time of the visit. The following deficiencies were observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Exit interview conducted. A copy of report and appeal rights were provided.