Routine inspection·February 18, 2026

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit at 02:00 p.m. The LPA was greeted by staff, and explained the reason for the visit. Staff contacted the Administrator via telephone to inform them of the visit. Administrator Roberto Ramirez arrived shortly thereafter and was explained the reason for the visit. At 2:20 p.m. the LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. Carbon monoxide and smoke alarms were tested and functioned properly. The fire extinguisher appeared fully charged and was last serviced on 1/6/2026. KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. All knives and cleaning supplies were observed to be locked and properly stored at the time of the visit. BEDROOMS: There are a total of four (4) resident bedrooms, of which two are shared and two (2) single occupancy, and one (1) staff bedroom. The resident bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. RESTROOMS: There are two restrooms for resident use. Restrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. Hot water temperature in resident restroom next to room #1 was within regulatory requirements (105*F-120*F); it was measured at 111.4*F. Report will continue on LIC809-C, 2nd page. COMMON SPACES: In the common areas, walls and flooring were checked for cleanliness and good condition. At the time of the visit, common seating area and dining room furniture was observed to be in good condition. The LPA observed the required postings in the common hallway. The backyard has a covered outdoor area equipped with furniture for resident use. There were no bodies of water noted. Laundry room was locked and contained storage cabinets for laundry supplies. The garage was observed locked. Record Review: At 3:00 p.m., a review of facility files was initiated. Facility records are stored in a locked cabinet. The LPA observed documentation of Disaster prevention and last Disaster drill (conducted on 1/10/2026). The LPA obtained Resident Roster, Staff Roster, Infection Control Plan and Insurance liability. The LPA reviewed five (5) out of five (5) resident files and the following was observed: One (1) resident (R1) did not have a negative TB test on file, two (2) residents (R2, R3) had appraisal/ needs and services that were over a year old, and R2 did not have documentation of annual routine visit on file, or documentation of the residents refusal to receive an annual routine visit on file. Otherwise everything else was current. INTERVIEWS: LPA interviewed one (1) resident no concerns noted. Due to time constraints the LPA will return at another 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 provided to Administrator.