Everlast Assisted Living

Type of visit: Required - 1 Year

On 1/15/2026 Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to complete the annual inspection. LPA met with Caregiver Larissa Hines for a Residential Care Facility for the Elderly (RCFE) for five (5) non-ambulatory residents, one (1) resident may be bedridden, and (2) hospice waiver. Current census is two(2). LPA Farlow introduced self and explained the purpose of the visit. Caregiver notified Administrator Brett Powell of LPA's arrival, and later arrived during the visit. The caregiver, provided LPA with a space to work and conducted a tour of the facility. The facility has four (4) bedrooms and two (2) bathrooms. There are three (3) residents bedrooms, and (1) bedroom for the caregiver, two (2) bathrooms, a kitchen, a living room, a dining area, a laundry room, a backyard, and an attached garage. LPA toured the interior and exterior areas of the facility. The following were inspected: Resident Bedrooms and Bathroom: All bedrooms have the required bedding and furniture, such as clean mattresses/linens, mattress covers, night stands, dressers, chairs, and lighting. The bathrooms appliances were operating in safe and sanitary condition. The water temperature was measured by LPA, at 128.9 and 122.5 degrees F. Licensee did have signs posted "caution hot water" in the bathroom and kitchen. Kitchen and Dining Areas: Utensils and dishware are in good repair and readily available for residents in care. Kitchen appliances and counter tops were free of debris and in good repair. The chemicals were locked underneath the kitchen sink. The sharps were locked in the kitchen cabinet. Facility has sufficient amount of perishable and non-perishable food supply for residents in care. Medication: The medications was locked and secured in the hallway closet. LPA audited 2 out of 2 residents MARs and Centrally Stored medication log. LPA observed the facility uses an app for charting which was not completed for the 8am meds, and the Centrally Stored Medication Log had medications that were not logged or medication that was in the secured container but not listed on the MARs and not destroyed. A deficiency was cited. Laundry Room/Linens and Hygiene Supplies: An adequate supply of linens and hygiene supplies were available for each resident. The laundry room contains chemicals and was securely locked. Backyard: There are no bodies of water in the backyard. There is a covered area with seating for the all the residents. All passageways were free from obstruction. Facility Postings, Fire extinguisher, First aid: There are two (2) charged fire extinguishers in the facility. LPA observed the fire extinguisher was last inspected on 3/13/2025. LPA observed operating smoke detectors and carbon monoxide alarms. Administrator stated they complete a fire/emergency drills quarterly. The home does not have any firearms and or ammunition. LPA observed required postings including the visitation polices, emergency/disaster contact numbers, complaint procedures, labor laws, and personal rights. Record Review: LPA reviewed two(2) out of two(2) residents files for Admission Agreements, Physician Reports, Needs and Services Plans, Identification and Emergency contact sheet. LPA observed resident file complete and maintained. LPA reviewed two (2) staff files, for CPR/First aid training, Health Screening, Personnel Records, Criminal Records Clearances, Background Statements and Fingerprinting, Annual Training. LPA observed that 1 out of 2 staff file were incomplete and missing the health screening, and TB test results. LPA observed the licensee did not update or review the LIC610E (Emergency Disaster Plan for Residential Care Facilities For The Elderly and Infection Control Plan. A deficiency cited. LPA observed a complete first aid kit. The facility has a working telephone for resident use. Based on the observations made during today’s visit, three deficiencies, were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), (LIC809C), (LIC809D), and appeal rights was discussed and provided to Administrator Brett Powell.the state’s words, verbatim · CDSS document, Jan 15, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) LaVette Farlow conducted an unannounced visit to complete the annual inspection. LPA met with Administrator Brett Powell for a Residential Care Facility for the Elderly (RCFE) for five (5) non-ambulatory residents, one (1) resident may be bedridden. LPA Farlow introduced self and explained the purpose of the visit. The administrator Brett, provided LPA with a space to work and conducted a tour of the facility. The facility has four (4) bedrooms and two (2) bathrooms. There are four (4) resident bedrooms, two (2) resident bathrooms, a kitchen, a living room, a dining area, a laundry room, a backyard, and an attached garage. LPA toured the interior and exterior areas of the facility. The following were inspected: Resident Bedrooms: All bedrooms have the required bedding and furniture, such as clean mattresses/linens, mattress covers, night stands, dressers, chairs, and lighting. Resident Bathrooms: The bathrooms appliances were operating in safe and sanitary condition. The water temperature was measured by LPA, the thermometer read at 131.0, 117.2, and 133.4 degrees F. Licensee adjusted the water heater immediately. A deficiency was cited. Kitchen and Dining Areas: Utensils and dishware are in good repair and readily available for residents in care. Kitchen appliances and counter tops were free of debris and in good repair. The chemicals were locked underneath the kitchen sink. The sharps were locked in the kitchen cabinet. Medication: The location for medications was locked and secured in the hallway closet. LPA audited 3 out of 3 residents MARs and noticed the Licensee and staff do not have a printable document showing the date and time medication was issued. LPA observed the facility uses an app for charting which was not completed for the 8am meds at 10:38AM. LPA observed the Centrally Stored Medication Log had medication that were not logged or medication that was in the secured container but not listed on the MARs. A deficiency was cited. Laundry Room/Linens and Hygiene Supplies: An adequate supply of linens and hygiene supplies were available for each resident. The laundry room contains chemicals and was securely locked. Backyard: There are no bodies of water in the backyard. There is a covered area with seating for the all the residents. All passageways were free from obstruction. Facility Postings, Fire extinguisher, First aid: There are two (2) charged fire extinguishers in the facility. LPA observed the fire extinguisher was last inspected on 3/13/2025. LPA observed operating smoke detectors and carbon monoxide alarms. LPA observed the facility has not completed a fire/emergency drill since September 2024. A technical violation was issued. The home does not have any firearms and or ammunition. LPA observed required postings including the visitation polices, emergency/disaster contact numbers, complaint procedures, labor laws, and personal rights. LPA observed the licensee did not update or review the LIC610E (Emergency Disaster Plan for Residential Care Facilities For The Elderly. A technical violation issued. LPA observed a complete first aid kit, but licensee did not have a current first aid manual. A technical advisory issued. The facility has a working telephone for resident use. Record Review: LPA reviewed three (3) out of (3) residents files for Admission Agreements, Physician Reports, Needs and Services Plans, Identification and Emergency contact sheet. LPA observed resident file complete and maintained. Staff Files were not readily accessible to LPA during the visit. Administrator stated staff records are being updated. LPA could not verify CPR/First aid training, Health Screening, Personnel Records, Criminal Records Clearances, Background Statements and Fingerprinting, Annual Training. LPA did have a current guardian roster which showed staff working were cleared. A deficiency was cited for staff records not being available. LPA observed the facility did not have a Infection Control Plan available for review. Administrator stated the facility folder was being updated. A technical violation issued. Based on the observations made during today’s visit, three deficiencies, three technical violation, and one technical advisory were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), (LIC809C), (LIC809D), (LIC9102TV), (LIC9102TA) and appeal rights was discussed and provided to Administrator Brett Powell.the state’s words, verbatim · CDSS document, Apr 7, 2025

The state marks this report as 9 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Ryan Gardner conducted an announced visit to complete the Pre-licensing inspection. LPA met with Administrator Sopheareak Langi for a Residential Care Facility for the Elderly (RCFE) for five (5) non-ambulatory residents, one (1) resident may be bedridden. The fire clearance was approved by the fire department on 11/28/2023. The facility has four (4) bedrooms and two (2) bathrooms. There are four (4) resident bedrooms, two (2) resident bathrooms, a kitchen, a living room, a dining area, a laundry room, a backyard, and an attached garage. LPA toured the interior and exterior areas of the facility. The following were inspected: Resident Bedrooms: All bedrooms have the required bedding and furniture, such as clean mattresses/linens, mattress covers, nightstands, dressers, chairs, and lighting. Resident Bathrooms: The bathrooms appliances were operating in safe and sanitary condition. The water temperature was measured by LPA, the thermometer read at 117.8 degrees F. Kitchen and Dining Areas: Utensils and dishware are in good repair and ready for resident use. Kitchen appliances and countertops were free of debris and in good repair. The refrigerator was measured at 40 degrees F and the freezer was measured at 0 degrees F. The chemicals were locked underneath the kitchen sink. The sharps were locked in the kitchen cabinet. Medication: The location for medications was locked and secured in the hallway closet. Common Sitting Areas/Activities: There is adequate seating in the common areas for the residents. The facility has a supply of activities for the residents. Laundry Room/Linens and Hygiene Supplies: An adequate supply of linens and hygiene supplies were available for each resident. The laundry room contains chemicals and was securely locked. Backyard: There are no bodies of water in the backyard. There is a covered area with seating for the all the residents. All passageways were free from obstruction. Fire extinguisher, carbon monoxide, firearms: There are two (2) charged fire extinguishers in the facility. LPA observed operating smoke detectors and carbon monoxide alarms. The home does not have any firearms and or ammunition. Postings: LPA observed required postings including the visitation polices, emergency/disaster plans, complaint procedures, labor laws, and personal rights. First aid and working telephone: The facility is equipped with a complete first aid kit and manual. The facility has a working telephone for resident use. LPA observed that the physical plant is clean, in good repair, and to be hazard-free during today’s visit. LPA has determined that the facility meets the operational requirements for licensure. The Pre-licensing inspection is complete, and the facility has no deficiencies. The facility has satisfied all requirements in accordance with Title 22, California Code of Regulations. The required Comp III presentation was completed. An exit interview was conducted, and this report was discussed and provided to Administrator Sopheareak Langi.the state’s words, verbatim · CDSS document, Jan 30, 2024