Routine inspection·June 6, 2025

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit at 03:15 PM. LPA met with facility staff and explained the reason for the visit. Staff reached out to Licensee/Administrator Victor Hernandez who arrived shortly after. Entrance interview conducted. The LPA, along with Licensee/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. The following was observed: Fire extinguisher is fully charged and recently serviced on 06/04/2025. Smoke detectors and Carbon monoxide detector was tested and was functional at the time of the visit. Fire alarm is centrally located and can not be shut off without the fire department on site at the facility. KITCHEN : Kitchen was observed to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of 7 (seven) days non-perishable and 2 (two) days perishable food. Knives were observed to be locked in a drawer. Cleaning supplies are located in a locked under-sink cabinet. GARAGE : The garage is kept locked and inaccessible to clients in care. A washer and dryer were observed and laundry chemicals were properly stored. The facility maintains an adequate supply of emergency food and water for all residents and staff members. BEDROOMS : There are 5 (five) total bedrooms in the facility; 2 (two) are designated as private resident rooms, 2 (two) are designated as shared resident rooms, and 1 (one) is utilized as a staff room. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Report Continued on LIC 809-C BATHROOMS : There are 2 (two) bathrooms for resident use. One common restroom and one restroom in a shared resident's room. Restrooms were observed to contain nonskid mats. Grab bars were observed in showers and next to toilets. The LPA tested the water temperature in the common bathroom, the temperature was observed to be 118.2 degrees Fahrenheit, within the required range. 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 living room has a properly screened fireplace. Exit doors contain alarms and all were functional at the time of the visit. OUTDOOR SPACE: The backyard has adequate shaded sitting areas with patio furniture including tables and chairs for resident use. There is a latched self-closing side gates for client use. There were no bodies of water on the premises. An outdoor shed was observed to be locked containing extra care supplies. A generator was observed outdoors for use in emergencies. Due to time constraints the LPA will return at a later time to complete the annual. No deficiencies cited. Exit interview conducted and report provided.