Routine inspection·December 4, 2025

Licensing Program Analysts (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:35 a.m., the LPA met with staff and explained the reason for it visit. At 9:55 a.m., the Licensee, Rodolfo Ohide arrived at the facility. RECORD REVIEW: Between 10:04 a.m. and 12:00 p.m., the LPA conducted a file review for all four (4) residents and staff regularly scheduled and observed the following: Resident records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. Two (2) out of four (4) residents did not have a physician’s report/ medical assessments. One (1) out of four (4) residents require updated appraisals/needs and service plan, a technical violation was issued. Three (3) out of four (4) residents require a preadmission appraisal, a technical violation was issued. Administrator’s Certificate is pending for renewal. The LPA could not identify staff records, including training records, a technical violation was issued. The LPA had several conversations with the Licensee with the goal of providing education in regard to maintaining current resident and staff records. At 1:14 p.m., the LPA, along with the Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards. KITCHEN: The LPA observed the kitchen and dining area. Knives are stored in a locked kitchen cabinet. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 1:17 p.m., hot water measured at 107.4-degree Fahrenheit. Continued on LIC-809-C. BEDROOMS: The facility is a single-story residential home with four (4) bedrooms and two (2) bathrooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. At 1:22 p.m., the hot water temperature was measured at 133.0-degree F. The Licensee adjusted the water temperature during the time of the visit. The sinks had sufficient liquid soap, and paper towels. OUTDOOR SPACE: At 1:14 p.m., the LPA observed the back patio which has a covered outdoor area for resident use. There is a gate on each side of the house designated for an emergency exits. The garage is attached and remains inaccessible to residents. Laundry units are located inside the garage. Cleaning solutions are located inside the garage. Additional food supplies and water are also stored in the garage. There are no bodies of water on the premises. COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and last serviced on 05/14/2025. At 1:27 p.m., fire alarms/carbon monoxide detectors were tested and functioned properly. Night lights were present throughout the facility. All exits have functioning auditory devices and were operational at the time of the visit. Medications are located in a locked cabinet near the living area. There is a working telephone on premises. The LPA observed additional clean linens and towels in the hallway closets. Due to time constraints the LPA will return at a later date to complete the annual. Pursuant to Title 22 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted and copy of the report and appeal rights were provided.