Facility Evaluation Report

On March 27, 2026, Licensing Program Analyst (LPA) Komal Curley conducted an unannounced annual visit. LPA met with Administrator, Maria Diaz and explained the purpose of the visit.

LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility. There are 5 bedrooms; 3 resident rooms (currently one vacant room) all of which are shared rooms, and 2 staff rooms. Resident rooms were observed to be clean with all required furniture. LPA observed all 4 residents at the facility to have bed rails with no physician's order for it. Two full bathrooms were observed to be clean, odor-free and in good repair. Water temperature throughout the facility measured between 108-110 degrees F.

Dining room was observed free from tripping hazards. A comfortable temperature is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Chemicals were observed to be locked. LPA observed insulin and sharps to be unlocked and accessible, however caregiver immediately locked it in LPAs presence.

Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of

July 2025. Emergency drills are logged and done every 3 month. LPA reviewed 4 resident records and 4 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated.

Deficiency of the Residential Care Elderly California Code of Regulations, Title 22, Division 6 is observed and cited on a LIC 809D. Failure to correct the deficiencies may result in civil penalties. This report is reviewed and discussed with the Administrator; a copy is provided.