1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | Cleaning supplies and other toxic substances were observed to be inaccessible to residents and secured in a locked cabinet located in the kitchen. Bathrooms were clean and equipped with the required grab bars in the showers and near toilets, as well as non-skid mats. Hot water temperatures measured 107.4°F in Bathroom (1), 110.7°F in Bathroom (2), and 110.8°F in the private bathroom, all of which are within the required range of 105°F–120°F.
Extra linens and towels were available and stored in hallway cabinets. Smoke and carbon monoxide detectors were tested and found to be operational. A fire extinguisher was observed near the dining room area and medication cabinet. No bodies of water were present on the premises. The backyard contained shaded seating for residents. Passageways and exits were observed to be clear and unobstructed.
Food Service
Refrigerators/freezers were maintained at proper temperatures (refrigerators maximum of 40 degrees°F and freezer 0-degreeºC ) with sufficient supply of 2-day perishable and 7 days non-perishable food. Fresh produce, proteins, and dry goods were stocked. Knives were observed to be accessible to residents due to a broken lock on the kitchen drawer. The Licensee/Administrator corrected the issue at the time of the visit by securing the knives in a locked location.
Health-Related Services & Records
Three (3) resident files were reviewed. While the files contained current required documentation including Admission Agreements, signed consents, Needs and Service Plans, Physician’s Reports documenting TB results and ambulatory status, and Resident Rights acknowledgments, LPA observed that Resident 2 (R2) and Resident 3 (R3) were missing required re-appraisals. Licensee/Administrator corrected the issue at the time of the visit.
Three (3) residents’ medications were reviewed. Medications were observed to be centrally stored in a locked closet located in the living room.
Disaster Preparedness
Last fire/earthquake drill was conducted on December 25, 2025, with logs available. LIC 610D Emergency Disaster Plan was available and updated. Emergency supplies (water, food, flashlights, batteries, first aid) were observed. Infection Control Plan was updated.
Personnel Records & Training
Four (4) staff files were reviewed and included criminal record clearances, CPR/First Aid, required training and TB screenings. Administrator Certificate for Michelle Navarro was valid through May 04, 2026, and Nino Navarro valid through April 10, 2026.
Insurance
Liability insurance was in compliance with an expiration date of July 1, 2026.
An exit interview was conducted with the Administrator Nino Navarro. During the inspection, deficiencies were observed and cited on the attached LIC 809D/809C in accordance with Title 22, Division 6 regulations. A copy of this report, LIC 809D/809C, and appeal rights will be provided via email.
|