Facility Evaluation Report

On 1/16/2026 at 9:45AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA knocked on front door and side door a few times with no response. LPA called Administrator and was informed that clients were at day program and there's no staff at the facility. An attempted visit was made and LPA left the facility around 10:05AM.

On 1/16/2026 at 2:30PM, LPA G. Luk returned to the facility to conduct the Required - 1 Year inspection. LPA met with Administrator, Ada Osuka and explained the purpose of the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 8/11/2025. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 110.2 degrees F in the hallway bathroom. There were adequate lighting in each room. First Aid kit is complete. Last fire drill was conducted on 1/6/2026. LPA reviewed 4 clients and 3 staff files starting at 3:00PM. LPA reviewed client's P&I money with log and did not observe discrepancies. LPA reviewed a sample of client's medications with MAR (Medication Administration Record) during inspection.

At 4:00PM, LPA observed C4 has a full bed rail and not on hospice care.

The deficiency was observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiency may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.