A Nurturing Touch

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Zabel Chochian conduct a required annual visit. Upon arrival, the LPA was greeted by (2) staff. Reason for visit was stated. Administrator, Viveca Lim was contacted. Beginning at approximately 11:00 a.m. LPA toured the physical plant areas inside and outside with staff to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. KITCHEN: Knives and sharps were observed inaccessible in a kitchen drawer. Cleaning supplies were observed under the kitchen sink inaccessible to residents in care. Kitchen appliances were in operable condition. Sufficient two-day perishable and seven-day non-perishable supply observed. GARAGE: The garage was locked and inaccessible to residents at the time of the visit. The LPA observed an adequate amount of emergency food and water. Washer and dryer were observed inside the garage. There is an additional refrigerator with adequate food; properly stored. Additional cleaning supplies are kept in the garage locked and inaccessible to residents in care. COMMON AREAS: Furniture in the common areas observed to be in good condition. The facility maintained a comfortable temperature. The LPA observed the fire extinguisher to be fully charged with a date of 01/13/2026. Required postings observed throughout the common space. Activities were observed in the common area. There is a working telephone on premises. Clean linens and towels observed in the hallway closet. Fireplace is appropriately screened. BEDROOMS: There are four (4) bedrooms for resident use. Two (2) bedrooms are designated as single occupancy, and two (2) bedrooms are designated as double occupancy. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. The LPA observed a staff bedroom on premises. Continued on LIC 809C. RESTROOMS: There are three (3) restrooms for resident use. First bathroom is located by the front entrance; second bathroom is located between bedrooms #2 and #3; and third bathroom is located inside bedroom #3. Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. Starting at 09:46 a.m., the hot water temperature was measured in all bathrooms, and they measured between 117.1 and 119.3 degrees Fahrenheit. BACKYARD: The backyard has a covered patio area with patio furniture for resident use. All passageways were observed to be clear of any obstructions. There are two (2) side gates with latching mechanisms. No bodies of water noted at the time of the visit. No obstructions or hazards were observed inside or outside the facility. RECORDS: The LPA reviewed Resident Records and Staff Records starting at 12:15 p.m.-1:15 p.m. Four (4) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, Consent for Treatment form, and current needs and services plan. Three (3) personnel files including the current Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate yearly training. All records were in order. Current Administrator’s Certificate expires on 11/26/2027. The facility’s policies and procedures as it pertains to infection control are adequate. The facility's emergency and disaster plan was observed to be complete and recently reviewed/updated. Emergency disaster drills conducted quarterly as per regulation; the last one being an earthquake and fire drill which was conducted on 01/06/2026. MEDICATIONS: Medications review began at approximately 1:30 p.m - 2:45 p.m. Medications are centrally stored and kept in a locked cabinet by the kitchen. Three (3) resident medications and records were reviewed. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. Medications appeared to be given as prescribed at the time of the visit. During today’s visit, the LPA interviewed three (3) residents. Two (2) out of the three (3) residents were able to converse with LPA. No concerns were noted. No citations issued. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Mar 4, 2026

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit. Upon arrival, the LPA was greeted by staff. The staff contacted the Administrator, Viveca Lim telephonically and at this time, the reason for the visit was explained. The Administrator arrived at approximately 09:40 a.m. Entrance interview conducted. Starting at 09:42 a.m., the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA inspected the kitchen/food service area at 09:42 a.m. Knives and sharps were observed locked and inaccessible in a kitchen drawer. Cleaning supplies were observed under the kitchen sink inaccessible to residents in care. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. The LPA observed the fire extinguisher to be fully charged with a date of 01/07/2025. Required postings were observed throughout the common space. Activities were observed in the common areas. There is a working telephone on premises. The LPA observed a closet in the hallway with additional clean linens and towels. The fireplace is appropriately screened. No obstructions or hazards were observed inside or out. Report Continued on LIC 809C... Report Continued fro LIC 809... RESTROOMS: There are three (3) restrooms for resident use. First bathroom is located by the front entrance; second bathroom is located between bedrooms #2 and #3; and third bathroom is located inside bedroom #3. Bathrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. Starting at 09:46 a.m., the hot water temperature was measured in all bathrooms, and they measured between 117.1 and 119.3 degrees Fahrenheit. BEDROOMS: There are four (4) bedrooms for resident use. Two (2) bedrooms are designated as single occupancy, and two (2) bedrooms are designated as double occupancy. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. The LPA observed a staff bedroom on premises. GARAGE: The garage was locked and inaccessible to residents at the time of the visit. The LPA observed an adequate amount of emergency food and water. Washer and dryer were observed inside the garage. There is an additional refrigerator with adequate food; properly stored. Additional cleaning supplies are kept in the garage locked and inaccessible to residents in care. BACKYARD: The backyard has a covered patio area with patio furniture for resident use. All passageways were observed to be clear of any obstructions. There are two (2) side gates with latching mechanisms. No bodies of water noted at the time of the visit. RECORDS: The LPA reviewed Resident Records and Staff Records starting at 10:46 a.m. Six (6) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. All files were in order. Report Continued on LIC 809C... Report Continued from LIC 809C... Five (5) personnel files including the current Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate yearly training. All records were in order. Current Administrator’s Certificate expires on 11/26/2025. During today’s visit, the LPA interviewed two (2) residents. No concerns were noted. INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control plan. The facility’s policies and procedures as it pertains to infection control are adequate. The LPA also reviewed the facility's emergency and disaster plan, which was observed to be complete and recently reviewed/updated. Emergency disaster drills conducted quarterly as per regulation; the last one being a fire drill which was conducted on 01/06/2025. MEDICATIONS: Medications review began at approximately 12:30 p.m. Medications are centrally stored and kept in a locked cabinet by the kitchen. All medications including PRNs were labeled, stored, and locked inaccessible to residents in care. PRN authorization letters were observed in each resident’s file. Medications appeared to be given as prescribed at the time of the visit. No citations issued. Exit interview conducted. A copy of the report was issued.the state’s words, verbatim · CDSS document, Mar 11, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual inspection. Upon arrival LPA met with Administrator Viveca Lim and explained the reason for the visit. At approximately 09:45am, LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher's were fully charged and last serviced in 01/05/2024. The kitchen appeared to be clean and the appliances and fixtures functional. LPA observed a sufficient amount of perishable food stored in the fridge and non-perishable food properly stored. Kitchen knives are stored in a locked drawer to the left of the sink. Stove burners are rendered inaccessible to the residents by by removing knobs when not in use. The supply of dishes, utensils, pots, pans and drinkware is adequate. The freezer was maintained at zero degrees Fahrenheit (0*F) and the refrigerator was maintained at 40*F. The supply of nonperishable food is adequate. There are no pesticides (poisons) or toxins stored in any food storage area or preparation area with utensils. Appliances in the kitchen were clean and all appeared functional. Trash cans had tight fitting lids. Kitchen, laundry and house cleaning supplies are stored in the laundry area. This area was observed inaccessible to residents in care. No flies or other vermin were observed. All resident rooms are set up with beds, night stands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. Continued from 809 In addition, no bedroom was used as a passageway to another room, bath or toilet. Room #5 is a designated staff room. LPA observed it to be empty and inaccessible to residents in care at this time. All rooms were free of odors. All window screens were clean and maintained in good repair. LPA observed all bathrooms in each resident bedroom were clean, properly supplied and had functional fixtures. The hot water was measured in each bathroom within 105 - 120 degrees Fahrenheit. Common Areas: These included the living rooms and dining areas. The common areas were properly furnished and appeared to be relatively clean at this time. The exterior passageways were clean and clear of any obstructions. There is a covered patio area at the back of the house with tables and chairs where residents can sit. The entire property is not fenced. The back and sides of the house are separated from the front yard by gates at the east and west side passageways. There is a door w/gate with a self-latching mechanism for persons to enter the back yard. There are no other structures on the property. There are no bodies of water on the premises at the present time. The garage was observed to be inaccessible to residents. LPA observed the garage to store, Personal Protective Equipment, incontinent supplies, toiletries, laundry area, extra food storage and other materials / equipment for facility use Records review began at 11:00am, three (3) resident records were reviewed for, but not limited to: appraisals, medical records, admissions agreement, consent forms. (4) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All files were observed to be in order at this time. Last emergency / disaster drill was conducted on 01/08/2024. Medications review began at approximately 1:00pm The medications are centrally stored in a locked cabinet in the kitchen inaccessible to residents in care. Medications were observed to be properly documented on the centrally stored medications and destruction record at this time. Between 9:30am - 3:30pm, LPA interviewed residents and staff. Continued from 809-C During today’s visit, LPA spoke with the Administrator regarding the facility’s infection control practices. Upon entry, the facility has a central entry point for symptom screening, temperature checks, and a sanitation station. LPA observed an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of a communicable disease. The facility has not had a confirmed case of a communicable disease at this time; however, the facility’s policies and procedures as it pertains to infection control are adequate at this time. LPA obtained the following documents - Census, Staff schedule, and Limited Liability insurance. Exit interview conducted and a copy of report was providedthe state’s words, verbatim · CDSS document, Mar 22, 2024