Routine inspection·February 4, 2026

Licensing Program Analyst (LPA) Valeria Conway arrived at the facility unannounced to conduct a required annual visit. At 10:30 A.M. LPA met with administrator Bernadette Abiera. LPA observed three (3) staff and five (5) residents present at the time of the visit. Co-administrator, Michelle Racan joined the visit. Entrance interview conducted. Beginning at 10:45 A.M. the LPA, along with administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. Please note: the facility is a 2-story house; the upstairs area is inaccessible to residents in care and is used for staff only, therefore was not observed. The following was observed in the downstairs area: Fire extinguishers are fully charged and recently serviced 01/15/2026. Carbon Monoxide detector was tested at 11:40 A.M. smoke detectors were tested at 11:05 A.M and all were functional at the time of the visit. Facility is equipped with fire sprinkler system. KITCHEN : The LPA observed the kitchen to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of seven (7) days non-perishable and two (2) days perishable food. LPA conducted a review of expiration dates on product labels. Cleaning supplies and sharps are located in separate locked cabinets. At 10:53 A.M. hot water measured 110.3 degrees Fahrenheit. Continued on LIC 809-C Continued from LIC 809 BATHROOMS : There are two (2) bathrooms for residents’ use. Both are designated for shared resident use. Restrooms were observed to be equipped with slip-resistant surfaces and contain slip-resistant mats. Grab bars were observed in the bathrooms. The water temperature was measured in both shared bathroom and measured within the required range. BEDROOMS : There are four (4) bedrooms; two (2) are designated as shared rooms and two (2) are designated as private resident rooms. All residents’ rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. COMMON AREAS : This includes the living room and dining room areas. LPA observed common areas to be clean and properly furnished at the time of the visit. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. The facility maintained a temperature of 76 degrees. Facility provides sufficient space to accommodate both indoor and outdoor activities. LPA observed a working phone available for residents use whenever needed. OUTDOOR SPACE: The backyard has a covered patio area with patio furniture including a table and chairs for residents’ use. The front yard is free of obstruction, the two side gates are self-latching. All passageways were observed to be clear. There were no bodies of water on the premises at the time of the visit. GARAGE : An open carport/garage is detached from the main house and inaccessible to the residents in care. Garage contained extra beds, extra mobility devices, PPE and incontinence supplies, and emergency food and water. Continued on LIC 809-C Continued from LIC 809-C RECORD REVIEW: Starting at 11:35 A.M. staff and resident records were reviewed for documents including, but not limited to: health screening, TB test, staff training records, fingerprint clearance, resident physician's report, needs and service appraisal, and personal rights. Five (5) resident files were reviewed. All files were observed to contain all required documents. Five (5) staff files were reviewed. LPA observed that Staff #1 (S1) and Staff #2 (S2) did not have documentation of the required twenty (20) hours of training completed prior to working independently with residents. Additionally, S1 did not have a completed health screening report on file. MEDICATION REVIEW: Medications review began at 1:30 P.M. Medications for five (5) residents were observed. Medications are centrally stored and locked in a cabinet in the living area; medications are labeled and checked for expiration dates. During the medication audit, the LPA observed that Resident #1’s (R1’s) supply of Bisacodyl EC 5 MG TBEC was depleted as of February 2, 2026, and a refill had not been ordered. Additionally, the LPA observed discrepancies in the medication administration records, as one dose of each of Senna Plus 8.6/50 MG and Quetiapine Fumarate 50 MG T was missing from R1’s bubble packs. Additionally, the LPA reviewed the facility's infection control practices and the facility's emergency disaster plan. Emergency disaster drills are conducted quarterly, with the last drill conducted on 01/19/2026. LPA requested the following documents, Personnel Roster LIC (500), Liability Insurance, and Resident Roster. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiencies were cited (refer to LIC 809.) Administrator was informed that failure to correct the deficiencies may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.