Facility Evaluation Report

Licensing Program Analysts (LPAs) Marisa Chiarelli and Michael Hood arrived at the facility unannounced on December 17, 2025 to conduct a Required-1 Year Inspection utilizing the inspection tool.

LPAs conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are five (5) bedrooms and four (4) bathrooms for resident use. LPAs observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. Hot water temperature was observed to be 155 degrees F.

LPAs checked the kitchen area for the ability to prepare and store food. Care home has required two (2) day perishable and seven (7) day non-perishable food supply on cite. LPAs observed knives, cleaning products, and other toxins to be locked away and inaccessible to residents. LPAs observed the backyard and perimeter of the care home to be free of clutter and debris. LPAs observed smoke detectors and carbon monoxide detectors to be operational in the care home. Emergency exits were unobstructed during visit. Fire extinguishers are maintained and ready for emergency use.

LPAs reviewed one (1) residents' medications and observed medication storage to be locked away and inaccessible to the residents. LPAs reviewed five (5) resident files and two (2) staff files. Facility has a current copy of certificate of liability insurance and LPAs obtained a copy.

As a result of this visit, deficiencies were cited per California Code of Regulations, Title 22, Division 6, Chapter 8. Deficiencies are attached on 809-D pages. Exit interview conducted. A copy of report and appeal rights given.