Facility Evaluation Report

On 3/13/2026 at 10:40AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Eillen Catilo and explained the purpose of the visit.

LPA toured the facility including but not limited to bedrooms, bathrooms, dining area, kitchen, garage, and outdoor area. Smoke and carbon monoxide detectors were observed. Fire extinguisher was observed to be full and last serviced on 1/22/2026. One week of nonperishable and 2-day of perishable food supplies were available. Hot water was measured at 113.5 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. First Aid kit is complete. Last fire drill was conducted on 3/6/2026. LPA reviewed 5 residents and 4 staff files starting at 11:00AM. LPA reviewed a sample of resident's medications during inspection.

At 12:00PM, LPA observed S4 is not associated to the facility.

At 12:30PM, LPA observed S4 does not have health screening and TB test on file during record review.

At 1:00PM, LPA observed S3 and S4 does not have initial training completed.

At 1:30PM, LPA observed unlocked medications in the refrigerator.

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

Exit interview conducted with Eillen Catilo. A copy of this report and appeal rights was provided.