Facility Evaluation Report

On 5/7/26, CCL Staff, Licensing Program Manager (LPM) Laura Munoz and Licensing Program Analyst (LPA) Talwinder Bains arrived at the facility unannounced to conduct a Required- 1 Year inspection utilizing the inspection tool. CCL staff met with Licensee ,Nelson Jacinto , and explained the purpose of the visit. Administrator, Julio Esguerra came after short while and assisted CCL staff with today's visit.

CCL staff toured the interior and exterior of the facility together with staff to ensure the health and safety of residents in care. Areas toured include but are not limited to: residents' bedrooms, bathrooms, common areas, maintenance room, kitchen, courtyard, and medication room. CCL staff observed required furniture, and lighting throughout the residents' bedrooms. Bathrooms are clean, sanitary, and in good repair. Toxic and cleaning supplies are locked in the maintenance room and is inaccessible to residents in care. CCL staff observed fire extinguishers, fire detectors, and carbon monoxide present at the facility. CCL staff observed food supplies of non-perishable for a minimum of one week and perishable foods for a minimum of two days. CCL staff observed medications were locked in medication carts and inaccessible to residents in care. Licensing posters are posted as required. Facility is compliant with fire drills per regulations.

CCL Staff reviewed a total of four residents' files and four staff files. All four residents' files contain signed Admission Agreements, Identification Sheet, Releases, Preplacement Appraisals, and Resident's Rights and updated annual medical assessment. Staff have record of all required training , First Aid and CPR, and other various care provision including required training in medications. Medications were reviewed for four residents and no error were identified . Medications are centrally stored, locked, and appear to be given per doctor's order.

CCL Staff requested to submit documents for review and records keeping by 5/31/26.

There were no deficiencies observed or cited from today's visit per Title 22 Regulations.

Exit interview conducted and copy of this report has provided.