Facility Evaluation Report

On 9/3/2025 at 10:00AM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a Required - 1 Year inspection. LPA met with caregiver, Anna Horvath. Administrator, Elizabeth Nagy arrived 30 minutes later.

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 5/27/2025. One week of nonperishable and 2-day of perishable food supplies were available. Hot water temperature was measured at 105.7 degrees F in the hallway bathroom. LPA observed grab bars and non-skid mat in the bathrooms. First Aid kit is complete. LPA reviewed 3 residents and 3 staff files starting at 10:30AM. LPA reviewed a sample of resident's medications during inspection.

At around 11:30AM, LPA observed unlocked lighter in the kitchen drawer and knives cabinet unlocked. Administrator locked up the items during inspection.

At around 11:45AM, LPA observed bathroom located closest to the front door has broken and lifted tiles in front of the shower area which caused the flooring to be uneven. LPA also observed 2 screen doors have holes, 1 screen door frame in disrepair, large cobwebs located on the railings of the deck in the outdoor area, and hallway light near the front door was flickering.

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.