LPA Tea reviewed six resident files and four staff files. Resident files and staff files contained all required documentation. Upon review of records, the facility is up to date with required quarterly emergency disaster drills, which were last conducted on November 7, 2025. AD Valencia administrator certificate has an expiration date of October 31, 2027.

LPA toured the physical plant, checked food service, and the first aid kit. The facility is one story home, three resident bedrooms, two staff rooms, three bathrooms, living room, family room, dining area, staff office area, kitchen and attached garage. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure, and showers were free of mold/mildew. Water temperature measured around 107. 7 Fahrenheit degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards; doorways were free of obstructions. First aid kit had all the required elements including dressing, bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked

(Annual continuation on LIC809-C)

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

The fire extinguishers are fully charged throughout the facility. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade in the backyard. There is a barbecue grill in the backyard. There are two exit gates that are self-latching and operational on both sides of the house. LPA observed PPE supplies, emergency food and water stored in the garage. Facility provides activities based on their personal choice. The staff takes residents out to the outings like the park, going to the beach, eating out, and shopping. At the time of the visit, LPA observed residents lounging in the family room.

LPA reviewed medication storage and administration. Medications are stored in a locked cabinet near the staff office area. Medications are being administered per physician order. P&I funds were accounted for and there were no discrepancies. LPA interviewed residents regarding their quality of care and spoke to staff present regarding care provided.

Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations.

This report was reviewed with Administrator Victoria Valencia and a copy of this report LIC809, along with the 809-C, LIC858, and LIC859 were read and provided to the facility.