Facility Evaluation Report

On 3/19/2026, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Agnes Abadicio, Caregiver and explained the purpose of the visit. Sally Victoriano, Administrator arrived later during the visit.

LPA toured the physical plant. This is a 1-story building with 7 bedrooms, 3 bathrooms(6 for residents and 1 for staff), a kitchen, living room, dining room, and a backyard. All bedrooms had the required furniture and sufficient lighting. All bathrooms had the required anti-skid flooring, mats, and grab bars. The facility's fire alarms and carbon monoxide detectors were observed to be in working order. The facility's fire extinguishers were observed to be fully charged and last checked on 5/1/2025. The facility had the required 7 days of non perishables and 2 days of perishables. No food was expired. The facility's first aid kit had the required items.

All sharp objects, soap, and detergent were observed to be locked and in-accessible to persons in care.

LPA reviewed 5 resident files and 5 staff files. All were observed to be complete. However, according to R1's Physician's report/medical assessment, R1 is bedridden which the facility does not have fire clearance for. A Type A citation was issued for this deficiency. A Technical Violation was provided for not having a bedridden plan of operation.

A review of Centrally Stored Medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication Records(CSMR) kept at the facility.

Deficiencies are cited under the California Code of Regulations Title 22. Failure to correct the deficiencies by the POC due date may result in civil penalties.

An exit interview was conducted. A copy of the report along with Appeal Rights were provided.