Epic Assistance Care Home 3

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Co-Administrator Silvana Huerta and explained the reason for the visit. The facility is a single story home with 6 bedrooms (1 bedroom is for staff only), 5 bathrooms, kitchen, living room with a fireplace that is screened, dining room and an attached 2 car garage that is used for storage. The facility is licensed for 6 nonambulatory residents of which 1 can be bedridden and a hospice waiver for 6. The Administrator, Simona Aziza's Administrator's certificate expires 12/2/2026. LPA and the Co-Administrator toured the facility. LPA observed the PUB 475 poster (see something, say something poster) is posted in the entry way of the facility. LPA observed the fireplace in the living room is screened the key to operate the fireplace is kept locked. Staff reported that the fireplace is never used. LPA observed the kitchen is clean and organized. The stove lights unassisted. LPA observed the stove has the knobs removed when not in use to make the stove inoperable. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The knives and sharp objects are kept secured in a kitchen drawer inaccessible to residents. LPA observed the medications are kept locked in a closet adjacent to the dining room. There is a TV in the living room for residents to watch. LPA observed all fire extinguishers are fully charged. The last fire drill was conducted on January 15, 2026. LPA and Administrator toured the resident rooms. LPA observed the resident rooms had all the required furnishings and linens. LPA observed extra linens and supplies stored in the hall pantry. LPA observed all the resident bathrooms were clean and operational. Hot water measured 131.0 degrees Fahrenheit in the hallway bathroom. LPA and Administrator toured the backyard. No bodies of water observed. There is shaded seating area with chairs and an umbrella for residents to sit outside. There is a storage shed in the backyard used for old furniture and wheelchairs. The exit gate is operational and self-closing. No obstacles or hazards observed in the backyard. LPA inspected the garage. The garage is used for storage and inaccessible to residents. LPA observed a 3 day emergency supply of food and water in the garage. Smoke detectors/carbon monoxide detectors tested operational. LPA inspected the first aid kit. The first aid kit has all the required elements. LPA reviewed 2 staff files no discrepancies observed. LPA reviewed 6 resident files and medications. No discrepancies observed. No deficiencies observed during the visit. Deficiencies are being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report provided along with appeal rights.the state’s words, verbatim · CDSS document, Apr 3, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Simona Aziza and explained the reason for the visit. The facility is a single story home with 6 bedrooms (1 bedroom is for staff only), 5 bathrooms, kitchen, living room with a fireplace that is screened, dining room and an attached 2 car garage that is used for storage. The fireplace is gas operated and the gas line is capped. The gas can only be opened by a use of a key which is kept locked in the garage. Staff reported that the fireplace is never used. LPA and Administrator toured the facility. The Administrator's certificate expires 12/2/2026. LPA observed the PUB 475 poster (see something, say something poster) is posted in the entry way of the facility. LPA observed the kitchen is clean and organized. The stove lights unassisted. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The knives and sharp objects are kept secured in a kitchen drawer inaccessible to residents. LPA observed the medications are kept locked in a closet adjacent to the dining room. There is a TV in the living room for residents to watch. LPA observed all fire extinguishers are fully charged. LPA and Administrator toured the resident rooms. LPA observed the resident rooms had all the required furnishings and linens. LPA observed all the resident bathrooms were clean and operational. Hot water measured between 105.0 and 106.0 degrees Fahrenheit in all bathrooms. LPA and Administrator toured the backyard. No bodies of water observed. There is shaded seating area with chairs and an umbrella for residents to sit outside. There is a storage shed in the backyard used for old furniture and wheelchairs. The exit gate is operational and self-closing. No obstacles or hazards observed in the backyard. LPA inspected the garage. The garage is used for storage and inaccessible to residents. Smoke detectors/carbon monoxide detectors tested operational. LPA inspected the first aid kit. The first aid kit has all the required elements. LPA reviewed 4 staff files no discrepancies observed. LPA reviewed 5 resident files and medications. No discrepancies observed. No deficiencies observed during the visit. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Apr 4, 2025

The state marks this report as 4 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) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Simona Aziza and explained the reason for the visit. The facility is a single story home with 6 bedrooms (1 bedroom is for staff only), 5 bathrooms, kitchen, living room with a fireplace that is screened, dining room and an attached 2 car garage that is used for storage. LPA and Administrator toured the facility. The Administrator's certificate expires 12/2/2024. LPA observed the PUB 475 poster (see something, say something poster) is posted in the entry way of the facility. LPA observed the kitchen is clean and organized. The stove lights unassisted. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The knives and sharp objects are kept secured in a kitchen drawer inaccessible to residents. LPA observed the medications are kept locked in a closet adjacent to the dining room. LPA observed the fireplace in the living room is screened. There is a TV in the living room for residents to watch. LPA observed all fire extinguishers are fully charged. LPA and Administrator toured the resident rooms. LPA observed the resident rooms had all the required furnishings and linens. LPA observed all the resident bathrooms were clean and operational. Hot water measured between 106.9 and 170.0 degrees Fahrenheit in all bathrooms. LPA and Administrator toured the backyard. No bodies of water observed. There is shaded seating area with chairs and an umbrella for residents to sit outside. There is a storage shed in the backyard used for old furniture and wheelchairs. The exit gate is operational and self-closing. No obstacles or hazards observed in the backyard. LPA inspected the garage. The garage is used for storage and inaccessible to residents. Smoke detectors/carbon monoxide detectors tested operational. LPA inspected the first aid kit. The first aid kit has all the required elements. LPA reviewed 3 staff files no discrepancies observed. LPA reviewed resident files and medication. No discrepancies observed. No deficiencies observed during the visit. No deficiencies are being cited as a result of this visit. An exit interview was conducted and a copy of the report provided.the state’s words, verbatim · CDSS document, Apr 17, 2024