Facility Evaluation Report
On 10/3/2025 at 11:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with Administrator, Renalyn Williamson 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 6/12/2025. One week of nonperishable and 2-day of perishable food supplies were available. LPA observed grab bars and non-skid mat in the bathroom. First Aid kit is complete. Last disaster drill was conducted on 7/15/2025.
LPA reviewed 5 residents and 4 staff files starting at 11:30AM. All staff are fingerprint cleared and associated to the facility. LPA reviewed a sample of resident's medications during inspection.
At 12:30PM, LPA observed R2, R3 and R5 does not have current appraisal needs and service plan on file.
At 1:30PM, LPA observed hot water measured at 133.7 degrees in the hallway bathroom.
The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties.
Exit interview conducted. A copy of this report and appeal rights was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction