Facility Evaluation Report

On 8/6/2025 at 11:30AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Rachell Paniagua. The facility’s fire clearance was approved for 10 non-ambulatory and 10 bedridden residents of which 10 residents may be under hospice care.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, common areas, and outdoor area. Centrally stored medications were locked in the med room. First Aid kit is complete. Smoke detectors were interconnected with sprinkler system. Carbon monoxide detectors were observed. Fire extinguishers were observed to be full and last serviced on 5/27/2025. One week supply of nonperishable and 2-day supply of perishable foods were available. Grab bars for each toilet and shower were installed. Non-skid mats were observed. LPA reviewed 6 resident records and 4 staff records starting at 12:30PM. LPA also reviewed a sample of resident's medications.

At 2:30PM, LPA measured hot water at 137.9 degrees F in the hallway bathroom.

At 2:45PM, LPA observed side gate had a lock on it. Staff removed the lock during inspection.

The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct the deficiencies may result in civil penalties.

Exit interview conducted. A copy of this report and appeal rights were provided.