Premium Senior Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassandra Mikkelson arrived unannounced and met with Administrator Maria Custura to conduct an annual inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed resident rooms, common area bathrooms, kitchen, common areas and perimeter of care home. LPA observed rooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two day perishable and (7) seven day non-perishable food supply on hand. Smoke detectors and carbon monoxide detectors are operational in the care home. Fire extinguishers and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed six (6) resident files, three (3) staff files and resident medications. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of this visit, no deficiencies were cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview was conducted with Administrator.the state’s words, verbatim · CDSS document, Jul 30, 2026

Type of visit: Required - 1 Year

On 06/18/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced to conduct a required 1 year annual inspection utilizing the care tool. LPA met with Administrator Maria Custura and explained the purpose of the visit. LPA and administrator conducted a tour of the facility to ensure the health and safety of residents in care. Areas toured include but not limited to: resident rooms, staff room, bathrooms, kitchen, common areas, backyard and the garage area. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for two (2) day perishable and seven (7) day nonperishable. Water temperature was measured at 112.5 degrees. Fire extinguisher was last inspected on 05/22/2025. LPA observed required Licensing posters posted throughout the facility. LPA reviewed five (5) resident files and two (2) staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. LPA reviewed medications of two (2) residents comparing with Centrally Stored Medication Record and physician orders. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and copy of the report and LIC809G was left at the facility.the state’s words, verbatim · CDSS document, Jun 18, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi and representative from Board of Vocational Nursing and Physiatric Technicians arrived unannounced to conduct an annual inspection. LPA met with Administrator Maria Custura during today's inspection. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured resident rooms, 1 staff room, 3 bathrooms, kitchen, common living spaces, backyard and the garage area. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. Water temperature was measured at 118 degrees. LPA reviewed 2 of 5 resident files and 2 staff files. LPA reviewed medications of two residents comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. LPA observed a copy of current liability insurance. Deficiencies cited on 809-D. Exit interview conducted. Appeal rights provided.the state’s words, verbatim · CDSS document, May 9, 2024