Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Dianna Manalo and explained the reason for the visit. Dianna Manalo's Administrator's Certificate expires on November 15, 2027. Facility is licensed for 6 non-ambulatory residents and a hospice waiver for 4. Facility is a single story home that has 5 bedrooms, 2 bathrooms, activity room with a TV, dining room, kitchen and an attached 2 car garage. LPA and Administrator toured the facility. The last emergency drill was conducted on April 14, 2026. Smoke detectors/carbon monoxide detectors tested operational. The fire extinguisher in the kitchen is fully charged. LPA inspected the first aid kit. LPA observed the first aid kit has all the required items LPA observed medications are stored locked in a cabinet in the dining room. LPA observed the kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed bedroom 2 is locked and unoccupied. The Administrator reported that bedroom 2 is being remodeled and and new flooring is being installed. LPA observed all resident rooms, except for bedroom 2, have the required furnishings and bed linens. LPA measured the hot water in the shared bathroom in the hallway. Hot water measured 105.8 degrees Fahrenheit. LPA observed the bathroom is clean and operational. The garage is kept locked. The garage is used for storage of supplies and furniture. LPA observed a 3 day emergency food and water supply stored in the garage. LPA and Administrator toured the backyard. No bodies of water observed. There is a shaded area with a table and chairs for residents to sit outside. Both exits are operational. LPA reviewed 5 resident files and medications. LPA reviewed 2 staff files. Both staff members are background cleared and associated to the facility. Both staff have CPR/First Aid training and the required annual training. LPA observed Staff 1 (S1) did not have a current health screening but had a valid TB test. Deficiencies are being cited per Title 22 division 6 of the California Code of Regulations. An exit interview was conducted with the Administrator and a copy of the report provided along with appeal rights.