Facility Evaluation Report

Licensing Program Analyst (LPA) Samer Haddadin conducted an unannounced visit to the facility to complete the required one-year inspection. Upon arrival, the LPA was greeted and granted entry by care staff. The Administrator (AD), Ana Sandru, was notified by caregivers of the visit and arrived shortly after the LPA’s arrival. During the inspection, the LPA toured the facility’s physical plant, both inside and outside. The facility is a single-story home with seven bedrooms and four restrooms. One bedroom is designated for staff use, and six bedrooms are designated for resident use. At the time of the visit, there were two staff members on duty and six residents in care; two of the six residents were currently hospitalized. The LPA and S1 tested the smoke detectors and carbon monoxide detectors in the common areas and resident bedrooms, and all were operational. Resident bedrooms were observed to have the required furniture, including adequate bed linens and sufficient closet and/or drawer space to accommodate each resident. The LPA observed a fire extinguisher mounted in the kitchen area with a purchase date of June 16, 2025. Record review reflected a fire drill was conducted on November 10, 2025. The LPA also observed that sharps and knives were secured in a locked kitchen drawer. The LPA observed the facility maintained a two-day supply of perishable food and a seven-day supply of nonperishable food and water. All kitchen appliances were observed to be operational during the visit. Restroom toilets and water faucets were observed to be operational, and grab bars were secure. Showers were observed to be free of mold and mildew. The hot water temperature was measured between 111.6 degrees Fahrenheit and 112.0 degrees Fahrenheit. The LPA and AD toured the backyard and observed a shaded seating area available for resident use. The LPA reviewed three resident files and three staff files and observed the required documentation was present. Based on observations and record review completed during this inspection, no deficiencies were cited pursuant to Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to facility staff at the conclusion of the inspection.