Facility Evaluation Report

Licensing Program Analysts (LPA) Sarah Hurt conducted an unannounced visit today for the facility’s annual inspection. LPA met with Administrator Maria Perez, Continual Administrator's Certification expired 12/15/2025. Administrator is listed on CCLD Administrators certification pending applications. There are currently 73 residents who reside at this home and there is 5 residents on hospice at this time. LPA inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, activity rooms, medication storage, kitchen, and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable.

Fire extinguisher is within the safety regulation period. Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Water temperature was tested at 114.6 degrees. Toxins and cleaning supplies are locked and inaccessible. LPA's reviewed a sample of staff and resident files. LPA 's reviewed facility Plan of Operation, Infection control plan, and Emergency Disaster Plan.

The facilities staff files including training are not readily accessible for review.

Resident 1's hospice binder did not include required training and updated hospice care plan.

The following deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22.

LPA requested the following documents: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing.

Exit interview conducted with Administrator, Maria Perez and copy of report left at facility