Bright Sunlife Guest Home

Allegation investigated: Facility staff are not properly addressing pests in the facility. Facility staff do not ensure resident's dietary needs are met.

On 07/27/2026 between 10:00AM and 04:45 PM Licensing Program Analyst (LPA) Troy Watson made a subsequent complaint visit the facility listed above. LPA Watson was greeted by the and explained the purpose of the visit. Investigation consisted of the following: On 07/27/2026 the department requested and obtained the following documents: Resident Roster, Staff Roster, Service Inspection Report (Dewey Pest Control) dated 04/21/26, 06/15/26, Incident Report, Facility Menu, Physicians Report dated 07/10/25,11/27/25, Medical Assessment 07/02/26, Medicine List dated 04/23/26, Medication Administration Records for R1 (MAR). The department conducted interviews with Staff#1-#3(S1-S3) and Residents #1, #2, #3. (R1-R3). CONTINUED ON LIC9099-C Unsubstantiated Investigation revealed the following: Allegation: Facility staff are not properly addressing pests in the facility It is alleged that the facility has unsanitary conditions, specifically that the floors are covered with cockroaches as reported by R1. On 07/28/2026 between 10:00AM and 04:45 PM the department interviewed the Administrator Coty Cabral Staff #1 (S1). During the interview the department asked S1 whether the facility attempts to eliminate roaches, S1 stated that Dewey Pest Control provides services twice a week each month, and staff will occasionally use Raid if needed. S1 also reported that she has not personally seen any roaches at the facility. On 07/28/26 the department conducted interviews with Staff#1-#3 (S1-S3) and Residents#1, #2, #3. An attempt was made to interview Residents #4 and #5 (R4-R5) but R4 refused to be interviewed and R5 was non-verbal and could not respond to the questions at the time of visit. Out of those Staff interviewed 3 out of 3 denied the above allegation. Out of those Residents interviewed 2 out of 3 denied the above allegation. On 07/28/26 the department obtained and reviewed the Service Inspection Reports from (Dewey Pest Control) dated 04/21/26, 06/15/26 and it showed that extermination services were conducted for ants, crickets, roaches, silverfish and spiders. The department also observed that the facility was clean and in good repair and did not observe any pests at the time of visit. Based on the information gathered, interviews conducted, and an analysis of records reviewed, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated. Allegation: Facility staff do not ensure resident's dietary needs are met It is alleged that the facility does not provide adequate or appropriate meals, as the resident reported that “they serve Spam and rice all the time, suggesting lack of variety or nutritional balance in the food provided. On 07/27/26 between 10:00am and 04:45 PM the department interviewed the Administrator Coty Cabral Staff#1 (S1). During the interview the Department asked S1 if staff serve nutritious meals to the residents. S1 said yes, explaining that the facility prepares American-style meals. She purchases groceries, including fish, chicken, pork, beef, vegetables, and fruit, and caregivers cook meals for residents. CONTINUED ON LIC099-C S1 added that R1 prefers more expensive food and often chooses to purchase restaurant meals for himself. On 07/28/26 the department conducted interviews with Staff#1-#3 (S1-S3) and Residents#1, #2, #3. An attempt was made to interview Residents #4 and #5 (R4-R5) but R4 refused to be interviewed and R5 was non-verbal and could not respond to the questions at the time of visit. Out of those Staff interviewed 3 out of 3 denied the above allegation. Out of those Residents interviewed 2 out of 3 denied the above allegation. On 07/28/26 the department obtained and reviewed the facility breakfast, lunch and dinner Menu and it showed a variety of meats, fruits, vegetables and starches served for breakfast lunch and dinner and was compliant with Title 22 regulation 87555 General Food Service Requirements. Based on the information gathered, interviews conducted, and an analysis of records reviewed, the Department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated. No deficiencies were cited at this time. An exit interview was conducted with the House Manager Algel Culala and a copy of this report was given.the state’s words, verbatim · CDSS document, Jul 27, 2026 · control 11-AS-20260720145832

Type of visit: Case Management - Deficiencies

On 04/28/26 Licensing Program Analyst Felisa Shirley conducted a case management inspection at this facility and met with Algel Culala, Caregiver. LPA was conducting a complaint investigation for 11-AS-20260422095106 on 4/28/26, when it was discovered, that facility staff failed to meet Title 22, Division 6, Chapter 8 section 87506 in providing the Resident records for review to investigate the complaint. The resident, (R1) named in the complaint received services at this facility name and address from 5/22/25 to 6/20/25, as S2 states that R1 was never a resident at this facility. The Licensee/Administrator failed to provide records to verify residency. The facility is required to make resident files available to Licensing for review. Licensee is in violation of Title 22 regulations for not providing resident records for R1. Deficiencies are issued and plans of corrections were discussed. Plan of corrections are to be submitted on or before 05/12/26. An exit interview was conducted with Algel Culala, Caregiver, and a hard copy of this Facility Evaluation Report was provided.the state’s words, verbatim · CDSS document, Apr 28, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(d)(e) · Plan of correction due date: May 12, 2026

87506 Resident Records (d) All resident records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours. Records may be removed if necessary for copying. (e) Original records or photographic reproductions shall be retained for a minimum of three (3) years following termination of service to the resident. This requirement was not met as evidenced by: Based on interviews, the Administrator/Licensee could not verify if R1 resided in this facility and did not maintain required records for R1 which poses an immediate safety risk and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Apr 28, 2026

Plan of correction: Administrator stated they will search for residents records and will make records available if indeed this resident resided at this facility during the period of May 2025 to June 2025 and will notify LPA Felisa Shirley by POC due date of 5/12/26 by phone at 323-629-5133, by email, Attn: LPA Felisa Shirley at felisa.shirley@dss.ca.gov or fax to 424-544-1016.

Allegation investigated: Staff did not meet the resident's toileting care needs Staff did not provide a variety of foods to resident in care

On 04/22/2026 Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced visit to Bright Sunlife Guest Home and was greeted by Staff Algel Culala (S1). LPA Calderon explained the purpose of this visit is to deliver the findings pertaining to the above-mentioned allegations. The investigation consisted of the following: LPA Calderon interviewed Staff S1-S2, residents R1-R5. LPA Calderon obtained the following records: Physician report (dated 12/08/2025), Needs and service plan (dated 12/09/2025), Admission Agreement (dated 12/09/2025), diaper/toilet logs (dated 01/05/2026 to 04/10/2026) for R1. Toured the facility with S1 The investigation revealed the following: Unsubstantiated Regarding the Allegation: Staff did not meet the resident toileting care needs. This complaint alleged that the facility staff did not change R1 diaper and provide toileting needs. Records review indicate the following: Physician report (dated 12/08/2025) indicates that R1 able to care for own toileting needs. Diaper/toileting log notes (dated 01/05/2026 to 04/10/2026) Log notes indicate that staff changed R1 diaper 2 times per day for 3 months. Interviews indicate the following: R1 could not be interviewed due to not living at the facility. Called R1 responsible party cell phone, left message for family member to call. R3 indicates that staff do help R3 with toileting needs and R4- R5 responsible party indicates that staff do help residents with diaper change and toileting needs. Left message for R2 responsible party to call. S1 indicates that S1 and staff changed R1 diaper daily and kept log notes. S2 indicates that staff help residents with toileting needs and change R1 diaper every day. Toured the facility and noted 2 residents asking for help with toileting needs, staff helped residents with bathroom needs. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “staff did not meet the resident’s toileting care needs” is found to be UNSUBSTANTIATED. Regarding the Allegation: Staff did not provide a variety of foods to residents in care. This complaint alleged that the facility staff did not feed R1. Records review indicate the following: Physician report (dated 12/08/2026) indicates that R1 able to self feed, special diet “heart healthy”. LPA Calderon toured the facility and noted residents having breakfast and lunch served by staff. LPA Calderon inspected the kitchen area and noted 2 days, and 7-day supply of food and LPA Calderon noted a variety of food offered for meals. Interviews indicate the following: R1 could not be interviewed due to R1 not living at facility. Left message for R1 responsible party to call. R3 indicates that staff do serve 3 meals per day and snacks are offered. R4-R5 responsible indicates that staff do provide 3 meals per day and offer a variety of food for residents to eat. S1 indicates that S1 cooks 3 meals for residents and 3 snacks per day. S1 indicates that S1 offers a variety of options for residents to eat per day. S2 indicates that S1 cooks and they offer 3 meals per day and 2 snacks for residents to eat. Based on interviews and supporting documentation, the preponderance of evidence standard has NOT been met therefore, the allegation of “Staff did not provide a variety of foods to residents in care” is found to be UNSUBSTANTIATED. No deficiencies cited during today's visit. An exit interview was conducted, and a copy of the Complaint Report was provided to the Staff Algel Culala (S1).the state’s words, verbatim · CDSS document, Apr 22, 2026 · control 11-AS-20260413153028

Type of visit: Required - 1 Year

On 10/08/2026 at 09:00 AM, Licensing Program Analyst LPA) Jose Calderon conducted an unannounced annual inspection visit at the Bright Sunlife Guest Home Facility. LPA Calderon was allowed entry into the facility by Staff Angel Culala. The facility is licensed to serve (6) residents aged 60 and above of which (4) non-ambulatory, (2) bedridden. Facility has an approved hospice waiver for (4) patients. Currently the facility has (6) residents. LPA Calderon explained to Staff Angel Culala, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records (MAR), three (3) staff records, and inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 09/03/2025. The one-story residential home consists of five (5) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored on the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 115 degrees Fahrenheit, and bathroom #2 hot water temperature properly measured at 112 degrees Fahrenheit. Kitchen hot water temperature measured at 120 degrees Fahrenheit. Facility (1) Carbon Monoxide and (7) Smoke Detectors, hard-wired and connected, were tested and are working properly. The facility two (2) Fire Extinguishers were checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. The facility has a working landline telephone. All toxins and knives are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility 1 first aid kit is fully stocked with manuals and was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Six (6) client files were reviewed and found to be complete. LPA Calderon reviewed six (6) resident medications (MAR) and they were all found to be administered according to doctor's orders. Three (3) staff files were checked, and they have the required documents. LPA Calderon noted the Administrator Heidi Skiles Certification # 6054123740 expiration date of 11/03/2023 was NOT valid 2ND time at time of inspection. Commercial General Liability Policy #01002167692 policy period from 11/28/2024 to 11/28/2025 underwritten by Kinsale Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. All the required documents are posted in the facility in a clearly visible area. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is current. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Staff Angel Culala.the state’s words, verbatim · CDSS document, Oct 8, 2025

Allegation investigated: Facility has pests. Facility staff did not seek medical attention for resident in a timely manner. Facility staff did not provide emergency responders information on resident medical history.

On 6/11/25, at 09:00am, the department conducted an initial complaint visit to the facility and was greeted by Algel Culala, Caregiver. The department explained the purpose of this visit is to gather information about the complaint, gather facility files, interview staff/residents, and deliver findings for the allegations mentioned above. The investigation consisted of the following: The department investigated the allegation mentioned in this complaint; and conducted interviews with staff (S1-S3), witness (W1), and residents (R1-R3) from 10:00am-2:00pm. R1 could not be interviewed because R1 is in the hospital. The department received the following documents: Client Roster (Dated: 5/09/2025), Staff Roster (Dated: 06/11/2025), Dewey Pest Control Invoices (Dated: 2/18/25, 4/11/25, 5/14/25), Admission Agreement (Dated:05/08/2025), ID Emergency Information (Dated: 5/8/2025), Physicians Report (Dated: 05/05/2025), Resident Appraisal Information (Dated:05/08/2025), Appraisal/Needs And Service Plan (Dated: 05/08/2025), and CPR/First Aid/AED Certificates (STAFF) from the facility. Report Continued On LIC9099-C Unsubstantiated The investigation revealed the following: Allegation #1- Facility has pests. The details of the complaint alleged that the resident (R1) was found lying in bed in deplorable conditions, with roaches crawling on the resident, while unable to move. Subsequently, the resident was transported to Torrance Memorial Hospital on 05/28/25, where the resident was immediately intubated. On 6/11/2025, from 10:00am-2:00pm, the department interviewed staff (S1-S3), witness (W1), and residents (R2-R3) regarding the allegation. R1 could not be interviewed because R1 is in the hospital. 3 of 3 staff denied the allegation that Facility has pests. Staff stated that they have not seen any pests in the facility. They also state that the facility has a pest control company that comes out monthly to service and treat for pests. The department interviewed residents (R2-R3) about the allegation. R1 could not be interviewed because R1 is in the hospital. 2 of 2 residents that were interviewed denied the allegation that Facility has pests. All residents interviewed stated that they have not seen any pests in their room nor in the facility. The department also interviewed witness (W1) and they stated that they have not seen any pests in the facility while they were visiting the resident. The department toured the entire facility (resident rooms, kitchen, bathroom etc.) and did not observe any pests or pest activity in the facility. The department reviewed Dewey Pest Control Invoices (Dated: 2/18/25, 4/11/25, 5/14/25) and observed that the facility has regular treatments to prevent pests and pest activity in the facility. Based on observation, interviews, and records reviewed, there is insufficient evidence to support the allegation that the Facility has pests. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur because of neglect, therefore the allegation is Unsubstantiated. Allegation #2- Facility staff did not seek medical attention for resident in a timely manner. The details of the complaint alleged that the facility did not seek medical attention for the resident (R1) in a timely manner. It is alleged that the last known wellness checks on the resident was 9 hours prior to the facility calling for emergency assistance for the resident. Subsequently, the resident was transported to Torrance Memorial Hospital on 05/28/2025, where the resident was immediately intubated. On 6/11/2025, from 10:00am-2:00pm, the department interviewed staff (S1-S3), witness (W1), and residents (R2-R3) regarding the allegation. R1 could not be interviewed because R1 is in the hospital. 3 of 3 staff denied the allegation that Facility staff did not seek medical attention for resident in a timely manner. Staff stated that they always check on all the residents to make sure their needs are met such as changing, assisting with activities of daily living, and medication administration. They state that the residents are monitored and checked on consistently. Report Continued On LIC9099-C The department interviewed residents (R2-R3) about the allegation and 2 of 2 residents that were interviewed denied the allegation that Facility staff did not seek medical attention for resident in a timely manner. All residents interviewed stated that the facility staff does check on them often and are consistent in seeking medical attention for them in a timely manner, if needed. The department interviewed witness (W1) and they stated that they are satisfied with the care and supervision that is provided to the resident by the staff. They also state that the staff does seek medical attention in a timely manner for the residents at the facility. The department reviewed Admission Agreement (Dated:05/08/2025), ID Emergency Information (Dated: 5/8/2025), Physicians Report (Dated: 05/05/2025), Resident Appraisal Information (Dated:05/08/2025), Appraisal/Needs and Service Plan (Dated: 05/08/2025) for resident (R1) and observed that all documentation for the resident was in order. The department also reviewed CPR/First Aid/AED Certificates for the staff and observed that the staff had the required training to provide aide to residents in care, if needed. Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Facility staff did not seek medical attention for resident in a timely manner. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur because of neglect, therefore the allegation is Unsubstantiated. Allegation #3- Facility staff did not provide emergency responders information on resident medical history. The details of the complaint alleged that emergency medical services responded to a 911 call at the facility and when they arrived, staff on scene were unable to provide them with good information of the resident’s (R1) baseline mental status or history of the resident. It is alleged that the staff could not provide basic answers to help with the assessment of the resident. Subsequently, the resident was transported to Torrance Memorial Hospital on 05/28/25, where the resident was immediately intubated. On 6/11/2025, from 10:00am-2:00pm, the department interviewed staff (S1-S3), witness (W1), and residents (R2-R3) regarding the allegation. R1 could not be interviewed because R1 is in the hospital. 3 of 3 staff denied the allegation that Facility staff did not provide emergency responders information on resident medical history. All staff stated that they answered all required questions asked by the responders and gave an information packet on the resident, that included a current physicians report and a list of medications that the resident was prescribed by their physician. They deny that they were not knowledgeable about the resident’s history during the assessment. Report Continued On LIC9099-C The department interviewed residents (R2-R3) about the allegation. R1 could not be interviewed because R1 is in the hospital. 2 of 2 residents that were interviewed stated that the staff are very knowledgeable about their medical history and are satisfied with the care and supervision they are being provided at the facility. The department also interviewed witness (W1) and they state that they are confident that the staff knows the history of the resident (R1) and are able to care for the resident. The department reviewed the Admission Agreement (Dated:05/08/2025), ID Emergency Information (Dated: 5/8/2025), Physicians Report (Dated: 05/05/2025), Resident Appraisal Information (Dated:05/08/2025), Appraisal/Needs and Service Plan (Dated: 05/08/2025) for resident (R1) and observed that the facility has documentation of the resident’s medical history and a service plan to care for the resident. Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Facility staff did not provide emergency responders information on resident medical history. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur because of neglect, therefore the allegation is Unsubstantiated. No citations were issued. An exit interview was conducted with Algel Culala, Caregiver, and a hard copy of this Complaint Investigation Report was provided.the state’s words, verbatim · CDSS document, Jun 11, 2025 · control 11-AS-20250602144354

Type of visit: Case Management - Other

On 06/11/25 Licensing Program Analyst Perry Scott conducted a case management inspection visit to this facility and met with Algel Culala, Caregiver. LPA was conducting a complaint investigation for 11-AS-20250602144354 on 6/11/25, when it was discovered, the Licensee failed to meet Title 22, Division 6, Chapter 8 section 87211 Reporting Requirements for the complaint. The resident (R1) in the complaint was admitted to Torrance Memorial Hospital on 05/28/2025. The Licensee/Administrator failed to notify Community Care Licensing Division of this incident with a submission of Special Incident Report LIC 624. The facility is required to submit this report within seven days of the incident. Licensee is in violation of Title 22 regulations for Reporting Requirements. Deficiencies are issued and plans of corrections were discussed. Plan of corrections are to be submitted on or before 06/20/25, to avoid monetary penalties. An exit interview was conducted with Algel Culala, Caregiver, and a hard copy of this Facility Evaluation Report was provided.the state’s words, verbatim · CDSS document, Jun 11, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87211(a)(1)(D) · Plan of correction due date: Jun 20, 2025

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the..... resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case. (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident. This requirement was not meet by evidence by:the state’s words, verbatim · CDSS document, Jun 11, 2025

Plan of correction: Licensee/Administrator shall read Title 22 87211 Reporting Requirements and send a written plan detailing how Licensee/Administrator will ensure that an incident is reported to CCLD. Administrator must conduct in-service training and provide a copy of the sign-in sheet of all facility staff in attendance. Plan of Correction (POC) is due to the CCLD/El Segundo ASC Regional Office by 06/20/25. Email to LPA Perry Scott at perry.scott@dss.ca.gov to avoid monetary penalties. Based on interviews conducted and record review, the licensee did not comply with section cited above by not submitting a written report to the licensing agency within seven days of the hospitalization of resident (R1) that occurred on 05/28/2025.

Type of visit: Required - 1 Year

On 09/06/2024 at 08:00 AM, Licensing Program Analyst LPA) Jose Calderon conducted an unannounced annual inspection visit at the Bright Sunlife Guest Home Facility. LPA Calderon was allowed entry into the facility by Staff Algol Culola. Staff Culola asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. The facility is licensed to serve (6) residents ages 60 and above of which (4) non-ambulatory, (2) bedridden. Facility has an approved hospice waiver for (4) patients. Currently the facility has (6) residents. LPA Calderon explained to Staff Algol Culola, the purpose of the one year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records (MAR), three (3) staff records, and inspected the inside facility and outside grounds. LPA Calderon interviewed six (6) clients and three (3) staff members for visit. The facilities’ last fire drill was conducted on 09/03/2024. The one story residential home consists of five (5) client bedrooms, two (2) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two day supply perishable and seven day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the garage and kitchen area. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and clients, sanitizing stations (Located in common areas and restrooms). LPA observed staff and clients were NOT wearing face coverings. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Calderon advised the Staff Algol Culola to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is due on 09/14/2024 for $495.00. PIN 219777. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Staff Algol Culola. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 109 degrees Fahrenheit, and bathroom #2 hot water temperature properly measured at 108 degrees Fahrenheit. Kitchen hot water temperature properly measured at 111 degrees Fahrenheit. Facility (1) Carbon Monoxide and (7) Smoke Detectors hard wired and connected were tested and are working properly. The facility two (2) Fire Extinguishers was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. The facility has a working land line telephone. All toxins and knifes are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility 1 first aid kit is fully stocked with manuals was checked and in order. Outside grounds were toured and no bodies of water were observed. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Six (6) client files were reviewed and found to be complete. LPA Calderon reviewed six (6) resident medications (MAR) and they were all found to be administered according to doctor's orders. Three (3) staff files were checked and have the required documents. LPA Calderon noted the Administrator Heidi Skiles Certification # 6054123740 expiration date of 11/03/2023 was NOT valid at time of inspection. Commercial General Liability Policy #01002167691 policy period from 11/28/2023 to 11/28/2024 underwritten by Kinsale Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Administrator Heidi Skiles to email LPA Calderon a full copy of the commercial insurance policy including all endorsements no later than 09/23/2024. All the required documents are posted in the facility in a clearly visible area.the state’s words, verbatim · CDSS document, Sep 6, 2024