Facility Evaluation Report
On 03/04/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. LPA introduce self, stated the purpose of the visit and requested to meet with Administrator. LPA met with designee Virginia Ramos. Administrator Neil Orillosa was called and stated unable to attend meeting. Administrator authorized staff (S1) Rachel Gamet to sign reports for the visit. LPA toured facility with S1.
The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. Chemicals were observed unlocked under kitchen sink. Medications were observed locked in kitchen shelf. All residents MARS were reviewed and medications were checked. Fire extinguisher was observed with a service date: 03/31/25.
An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 40 degrees F and freezer at 0 degrees F. Cleaning supplies and chemicals stored and unlocked under kitchen sink. Sharps observed locked in kitchen shelf. Extra linens and towels were observed. All bedrooms were observed with adequate lighting. LPA observed to hospice residents lying in bed with full rail. The bathrooms were toured and observed operational during inspection. Hot water temperature was tested at 105.2 degree F in hall bathroom and 107.2 degree F in shared master bathroom.
Outside of facility toured and observed to be free of debris. Adequate outdoor seatings available for clients. Side gate observed self-latching and self-closing. All residents and a sample of staff files were reviewed.
A deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D.
Exit Interview conducted. LPA received copies of Lic 308, Lic 500, Lic 610E, and current liability insurance to CCL by 03/10/26. POC was discussed with Administrator via telephone. A copy of this report and appeal rights were provided to Administrator via email as requested.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction