Facility Evaluation Report

On 06/19/2026, Licensing Program Analyst (LPA) V Gorban arrived unannounced at the facility to conduct a Required Annual Inspection. LPA met with lead Caregiver Maria Molina who invited Licensee Cyril Tupino to assist with the visit due to language barrier. LPA announced the purpose for the inspection to Licensee Cyril who assisted LPA conducting health and safety inside and outside facility tour .

LPA observed restricted pathways downstairs restricting pathway out through kitchen. During observation LPA notice missing carbon monoxide detectors. While touring the kitchen, LPA observed sufficient amount of perishable and non-perishable foodstuffs which were stored properly. Common areas were clean, adequately furnished, and adequately lit. Resident bedrooms were clean and had required minimum furnishings. Resident bathrooms were clean, odor free, and water temperature was within required temperature range. A locked cabinet downstairs in the kitchen was observed to store resident medications, and medications appeared to be administered properly. The facility failed to provide for review requested emergency disaster plan and infection control plan. LPA reviewed resident and staff files. Residents files missing updated medical evaluation and reassessment. Staff files missing first aid/CPR and required annual training.

During outside walk LPA observed that an outdoor area which was accessible to residents contained a standing broken clothes dryer, and other miscellaneous appliances and items which could be hazardous to residents. During resident file review, it was observed that three out of four residents' files did not contain re assessment and medical evaluation. Three out of four residents diagnosed with dementia did not have records of appropriate reappraisals conducted within the last twelve months. See attached for deficiencies cited in accordance with California Code of Regulations Title 22, Division 6. Administrator was provided with a copy of the report and appeal rights. During Licensing inspection Licensee left facility and have not returned.

Exit interview conducted with facility staff, report signed and copy of this report with appeal right provided for facility records.