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25 | On 08/15/26 Licensing Program Analyst arrived at the facility to complete an unannounced annual visit. LPA met with Direct Support Professional, Edith Luna, explained reason for visit and was permitted entry into the facility. Administrator, Angel Zazueta arrived a short time later. LPA completed a tour of the facility inside and out. A health and safety check was completed on residents in care. 1 resident was present during visit.
Pathways and doors were clear and free from obstruction. Facility was without odor. Common areas were adequately furnished, and adequately lit. Fire extinguisher last serviced 07/29/2026. Last fire drill on conducted 07/25/26. Resident rooms observed to have the required furnishings and with adequate lighting. Chemicals and medications were observed locked. LPA observed sufficient seating under covered patio areas.
The following issues were observed during today’s visit: Sharps observed in bathroom #1 and inside kitchen drawer unlocked and accessible to residents in care. Dog feces needing to be picked up was observed to the right side side run of backyard. Holes from the dogs observed to the left of the sliding door exiting the facility. Food in kitchen refrigerator and freeze was not properly stored and dated. Emergency and Disaster plan did not have one shelter location listed outside the immediate area. Plan did not have have location of electrical shut off listed. 5 of 5 resident beds observed to be hospital beds. 1 of 2 of these files reviewed did not have a prescription the hospital bed/postural support for the resident. 1 of 2 resident receiving hospice services does not have an updated hospice care plan. Deficiencies cited per California Code of Regulations, Title 22, deficiencies are being cited on the attached 809D. If not corrected, the violation with have a direct risk to the health, safety and/or personal rights of residents in care.
LPA requested the following documents to be submitted to CCL by 08/28/26: current copy of Administrator’s Certificate, Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) and a current copy of liability insurance in order to update the facility file.
Exit interview was conducted with Administrator, Angel. A plan of correction was developed by Administrator and reviewed by LPA. A copy of this report, deficiencies, and appeal rights were discussed and provided to Administrator. TSP was offered and accepted. LPA will submit referral.
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