Facility Evaluation Report

On 04/07/26, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA arrived, introduce self, and stated the purpose of the visit. LPA met with staff Jose Ducusin. Licensee (L1) Amalia Necer was called and arrived shortly. LPA conducted tour with L1. All six residents were present during inspection.

The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. Cleaning chemical were observed stored under kitchen sink, bathroom sink, and garage cabinet. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature maintained at 35 degrees F and freezer temperature at -1 degree F. Fire extinguisher were observed with a service date of: 04/01/26. Medications were checked and observed kept locked in kitchen shelf and metal drawer. Residents’ MARs were reviewed and medications were checked. Extra linens and towels observed in hall closet. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. Bathrooms were properly equipped, and the hot water temperature was tested 112.4 in hall bathroom and at 111.7 and 112.3 degrees F in shared bedroom. Outside of facility toured. Side exit observed with self-latching and self-closing gate. Outside observed free of debris. Half of the residents’ and staff files were reviewed. Smoke detectors and carbon monoxide were tested and observed to be operational.

A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6.

Exit Interview conducted. The following documents are requested to be submitted to the department by 04/13/26: Lic 308, Lic 500, Lic 610E, current liability insurance, and control of property. A copy of this report and appeal rights was emailed to Licensee.