The Hills of Stillman

Type of visit: Case Management - Legal/Non-compliance

On 06/09/2026 at 8:50 AM, Licensing Program Analyst (LPA) Eldin Serrano arrived at the facility, unannounced to conduct a Case Management visit. LPA identified himself and met Administrator Regina Chavez and gained access to the facility. LPA informed Administrator Chavez that this visit is being conducted to follow up on the facility's compliance with Health & Safety Code Section 1569.38. Health & Safety Code 1569.38 requires the licensee to post a written notice and the accusation notice received must be posted in a conspicuous location in the facility and shall remain posted until the deficiencies that gave rise to the accusation notice are resolved. During the tour of the facility on 06/09/2026, LPA observed that the accusation and written notice that the facility received was not posted, as required by law, at the front office window near the main entrance of the facility and inside the facility near the Activity Area, Medication Room and Dining Room. LPA did a health and safety check. LPA observed two (2) day(s) supply of perishable food and seven (7) day(s) supply of non-perishables food and snacks. LPA observed 10 residents and 3 staff and the administrator. Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. During today's visit, LPA observed and/or administrator Regina Chavez verbally confirmed that: 1.) The accusation notice was not posted at the facility, and the written notice to residents and/or responsible party if any and long term care ombudsman (LTCO) were not sent as required by law since 05/08/2026. 2.) Written notice in at least 14-point type was not posted in a conspicuous location in the facility since 05/08/2026. Administrator was informed that a deficiency will be issued today. An exit interview was conducted where this report, LIC809, LIC809D and Appeal Rights were discussed, and copies were provided to Administrator Regina Chavez.the state’s words, verbatim · CDSS document, Jun 9, 2026

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.38(f) · Plan of correction due date: Jun 10, 2026

Health and Safety Code (HSC) 1569.38 Posting of licensing reports; disclosure ... (f)The notice required to be posted pursuant to subdivision (e) shall remain posted until the deficiencies that gave rise to the notice are resolved. This requirement was not met as evidenced by: Based on observation, interview and record review, the Licensee did not comply with the section cited above by not ensuring that the written notice and the accusation notice received were posted in a conspicuous location in the facility and shall remain posted until the deficiencies that gave rise to the accusations notice are resolved which poses potential health, safety, and personal rights risks to resident in care.the state’s words, verbatim · CDSS document, Jun 9, 2026

Plan of correction: Licensee will post the accusation notice in the conspicuous location and will send a written notice and provide proof regarding the accusation to the resident, residents responsible party if any and long term care ombudsman (LTCO) on plan of correction (POC) due date.

Allegation investigated: Staff did not provide resident's authorized representative with invoices

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Regina Chavez, and discussed the purpose of the visit. LPA’s investigation revealed that R1 was removed from The Hills of Stillman on 03/06/26 and admitted to the hospital due to a heart attack, where R1 passed on 03/22/26. Residents authroized representative have requested invoices from facility staff with no response. Based on the evidence and interviews gathered during the investigation, the above allegation is Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where this report LIC 9099 and LIC 9099D and Appeal Rights were discussed, and a copy was provided to Administrator . Substantiatedthe state’s words, verbatim · CDSS document, Apr 28, 2026 · control 56-AS-20260423082736

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87506(c)(1) · Plan of correction due date: Apr 29, 2026

87506(c)(1)Resident Records. (c) All information and records..The licensee and all employees shall reveal or make available confidential information only upon the resident's written consent or that of his designated representative..This requirement is not met as evidenced by: Based on observation, the licensee did not comply with the section cited above by not providing R1's representative records, which poses/posed a potential health, safety or personal rights risk to persons in care.the state’s words, verbatim · CDSS document, Apr 28, 2026

Plan of correction: Administrator provided proof of invoice being received at the time of visit. Administrator will be contacting R1's representative that the invoice has been received and will be providing the invoice to the required third party provider

Allegation investigated: Staff did not issue a refund for resident

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Regina Chavez, and discussed the purpose of the visit. LPA’s investigation revealed that R1 moved into The Hills of Stillman on 12/22/25. R1’s responsible party paid the admission fee covering 12/22/25 through 12/31/25, as well as the full month of January 2026. R1 passed away on 01/09/26, and R1’s responsible parties retrieved R1’s belongings the same day. For several months, R1’s responsible party has attempted to contact the Licensee regarding a prorated refund for the period of 01/09/26 through 01/31/26, but has not received a response. Based on the evidence gathered during the investigation, the above allegation is Substantiated. A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. An exit interview was conducted where this report LIC 9099 and LIC 9099D and Appeal Rights were discussed, and a copy was provided to Administrator . Substantiatedthe state’s words, verbatim · CDSS document, Apr 23, 2026 · control 56-AS-20260420150228

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(5)(A) · Plan of correction due date: May 22, 2026

87507 Admission Agreements (5) Refund conditions(A) Facility policy concerning refunds, including the conditions under which a refund for advanced monthly fees will be returned in the event of a resident’s death, pursuant to Health and Safety Code section 1569.652. This requirement is not met as evidenced by: Based on interviews and record review the licensee did not comply with the section cited above by not issuing a refund to R1's family after their death which poses a potential health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Apr 23, 2026

Plan of correction: Licensee will contact R1's family and issue a prorated refund amount estimating $5420 and provide proof of payment to LPA by POC due date (5/22/26)

Type of visit: Case Management - Other

On 3/18/2026, Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a health and safety check. LPA met with Administrator, Regina Chavez, and explained the purpose of the visit. During today's health and safety check. LPA conducted an overall status of the facility. At the time of the visit there were three (3) staff present. The facility was observed to have operable utilities (gas, water, electricity). The facility was observed to have a 2-day supply of perishable and a 7-day supply of nonperishable food items. The facility was a comfortable temperature. Records review the facility does not have an active liability insurance, deficiency issued. Deficiencies were cited during LPA's visit. An exit interview was conducted, and a copy of this report was provided to Administrator, Regina Chavezthe state’s words, verbatim · CDSS document, Apr 23, 2026

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.605 · Plan of correction due date: May 7, 2026

1569.605 Liability insurance;coverage requirements...On ($1,000,000) per occurrence and three million dollars ($3,000,000)in the total annual aggregate caused by the negligent act or omissions to act of, or neglect by,the licensee or its employees.This requirement is not met as evidenced by: Based on observation the licensee did not comply with the section cited above by not having an active liability insurance during health and safety visit on 4/23/26 which poses an immediate health and safety risk to persons in care.the state’s words, verbatim · CDSS document, Apr 23, 2026

Plan of correction: Licensee is to purchase and maintain liability insurance for the facility and provide proof to LPA by POC due date 5/7/26

Type of visit: Office

The Department held an office meeting today 4/16/2026 to discuss the current facility operations. In attendance were Regional Manager (RM) Leslie Mendiveles, Licensing Program Manager (LPM) Karen Clemons, Licensing Program Analyst (LPA) Sarina Ramirez, and Licensee representatives Allen Medina, Keak Vongphakdy, and Maricel Nepomuceno. On or around April 1, 2026, the Department received notification of a submission of license application for Change of Ownership (CHOW). The Department received the application on or around April 8, 2026. In response to pending CHOW, the Department informed the current licensees of their responsibilities until CHOW is approved, which includes but is not limited to the following; · As current license, The Hills of Stillman, Inc has authority and responsibility for the operation of The Hills of Stillman. · As licensee, The Hills of Stillman, Inc shall at all times, ensure that facility is operating the facility in compliance with Title 22 Regulations and Health and Safety Code. · As licensee, The Hills of Stillman, Inc. shall ensure compliance with state, federal, and local laws, such as building and labor requirements. All licensee representatives acknowledged understanding of their requirements. Licensee also agrees to notify the Department if change in facility operations and/or oversight occurs. At the end of the meeting, Licensee representatives agreed to provide the following to the regional office by 4/20/2026: 1) Written plan to the Department detailing how financial obligations will be met, including payment of all outstanding utility bills, staff wages, and detailing how staffing will be increased or adjusted to meet the needs of all residents in care. An exit interview was conducted with the facility representatives, and a copy was provided at the conclusion of the meeting.the state’s words, verbatim · CDSS document, Apr 16, 2026

Type of visit: Case Management - Other

On 3/18/2026, Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a health and safety check. LPA met with Administrator, Regina Chavez, and explained the purpose of the visit. During today's health and safety check. LPA conducted an overall status of the facility. At the time of the visit there were four (4) staff present. The facility was observed to have operable utilities (gas, water, electricity). The facility was observed to have a 2-day supply of perishable and a 7-day supply of nonperishable food items. The facility was a comfortable temperature. No deficiencies were cited during LPA's visit. An exit interview was conducted, and a copy of this report was provided to Administrator, Regina Chavezthe state’s words, verbatim · CDSS document, Mar 18, 2026

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to conduct a Health and Safety check of the residents in care at the facility. LPA Ramirez met with Administrator Regina Chavez and explained the purpose for the visit. LPA conducted interviews and toured the facility inside and out. The condition of the facility was clean and in good repair. LPA observed a Walmart grocery order being delivered, there was a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. However, LPA is requesting that an additional grocery order be placed by the end of the week, and provide proof to LPA. Utilities were all functioning. The facility room temperature was measured at 69 degrees Fahrenheit. The hot water in two of the facility restrooms measured at 106.5 and 107 degrees Fahrenheit. LPA observed six (6) residents sleeping in the living room, one (1) watching television in the second living room, and one (1) sleeping in their bedroom. LPA observed four (4) staff: two (2) caregivers, one (1) med tech, and one (1) cook. Interviews indicate that on February 16, 2026, the facility experienced a power outage lasting a couple hours. The facility’s generator activated and provided temporary power. During this time, the Licensee remained in communication with the local power company until service was restored later that same day. LPA obtained copies of pertinent documents and observed proof of liability insurance. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Administrator Regina Chavezthe state’s words, verbatim · CDSS document, Feb 25, 2026

Type of visit: Office

The Department held an informal office meeting today 1/27/26 to discuss the current facility operations. In attendance was Regional Manager (RM) Leslie Mendiveles, Licensing Program Manager (LPM) Karen Clemons, Licensing Program Analyst (LPA) Sarina Ramirez, Licensing Program Analyst (LPA) Lavette Farlow and Licensee representatives Allen Medina and Keak Vongphakdy. Recently, the Department received notification of financial issues related to the facility. 1/27/26, the following issues were discussed: -Late rental payments notifications -Notices of utilities shut-offs -Staff late payments of wages -Maintaining facility License Licensee reported that above issues have been resolved. RM Mendiveles informed them of their continued responsibility to maintain oversight of facility operations to ensure compliance at all times. Copy of Title 22, Section 87205 Accountability of Licensee Governing Body was provided to representatives. At the end of the meeting, Licensee representatives agreed to provide the following to the regional office by 1/29/2026: written plan to the Department detailing how financial obligations will be met, including payment of all outstanding utility bills, staff wages, and detailing how staffing will be increased or adjusted to meet the needs of all residents in care. An exit interview was conducted with the facility representatives and a copy was provided at the conclusion of the meeting.the state’s words, verbatim · CDSS document, Jan 27, 2026

Allegation investigated: Facility is in financial distress. Facility is not providing adequate supervision to residents in care. Facility does not have enough food for residents in care.

Licensing Program Analysts (LPAs) Sarina Ramirez, and Eldin Serrano conducted an unannounced visit to the facility to deliver findings on the listed complaint allegations. LPAs met withMed Tech Dayana Sanchez and explained the purpose of the visit. The investigation consisted of interviews with the licensee, facility staff, residents, and outside parties. LPAs toured the facility. Allegation #1, On 1/16/26, Licensing Program Analyst (LPA) conducted an investigation regarding the allegation that the facility is in financial distress. During an interview with the licensee, the licensee informed LPA that the facility is experiencing financial difficulties and is currently seeking assistance through obtaining a loan or selling the facility. The licensee further stated that due to these financial challenges, staff salaries have been paid late. LPA obtained documentation confirming that the licensee is behind on paying the facilities monthly rent to the landlord consistently each month since March 2025. LPA received and reviewed utility bills and observed shut off notices for December 2025 which pose an immediate health and safety risk to residents in care. Substantiated Allegation #2, Based on interviews with the administrator, facility staff, and residents, the licensee is not providing adequate supervision to residents in care. Based on interviews with four (4) staff, The facility currently has three staff members providing care and supervision to fourteen (14) residents, some of whom have diagnoses requiring additional care and supervision. LPA interviewed three (3) residents, all whom believe the facility provides adequate supervision, however based on LPA's observation, the residents are unaware of the facilities staff shortage. Allegation #3, LPA toured the facility’s kitchen and food supply. Based on observation and interviews, the licensee failed to maintain sufficient food supplies for residents in care. LPA observed that the facility did not have enough food for one week or fresh perishable foods for two days as required. LPA interviewed four (4) staff, all whom state lately the facility has not had enough food supply for residents. An interview with the facility cook, it was noted the menu can not be followed due to not have all the ingredients for the meals. LPA interviewed three (3) residents, all whom believe the facility has enough food for the residents, however one (1) resident recalls a time they had cereal and macaroni rice twice in one day. Based on LPA's interviews and observation it appears the residents are unaware of the food shortage in the facility Based on the interviews, observation, and the evidence gathered during the investigation, the above allegations are Substantiated. A finding that the complaint is Substantiated means that the allegation(s) are valid because the preponderance of the evidence standard has been met. An exit interview was conducted where this report LIC 9099, LIC9099 C and LIC 9099D and Appeal Rights were discussed, and a copy was provided to Med Tech Dayana Sanchez.the state’s words, verbatim · CDSS document, Jan 22, 2026 · control 56-AS-20260112130714

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87468.1(a)(2) · Plan of correction due date: Jan 23, 2026

87468.1(a)(2) Personal Rights of Residents in All Facilities: (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidence by: Based on observation, interviews, and record review, the licensee did not ensure residents’ right to live in a safe and comfortable environment. The facility is in financial distress, evidenced by late payment of staff wages, overdue rent, and utility shut off notices. This poses an immediate health and safety risk to residents in carethe state’s words, verbatim · CDSS document, Jan 22, 2026

Plan of correction: Licensee shall submit a written plan to the Department by 1/23/26 detailing how financial obligations will be met, including payment of all outstanding utility bills and staff wages. Licensee shall provide proof of payment and evidence of sufficient funds to maintain ongoing operations and ensure residents’ rights are upheld.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Jan 23, 2026

87411(a) Personnel Requirements Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed… This requirement is not met as evidence by: Based on interviews with the administrator and facility staff, the licensee failed to provide adequate staffing to residents in care. The facility currently has three staff members providing care and supervision to fourteen (14) residents, some of whom have diagnoses requiring additional care and supervision. This poses a immediate health and safety risk to residents in carethe state’s words, verbatim · CDSS document, Jan 22, 2026

Plan of correction: The Licensee shall submit a written plan to the Department by 1/23/26 detailing how staffing will be increased or adjusted to meet the needs of all residents in care. Licensee shall provide proof of additional staff hired or scheduling changes to ensure adequate supervision.

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87555 · Plan of correction due date: Jan 23, 2026

87555 General Food Service Requirements: The total daily diet shall be of the quality and in the quantity necessary to meet the needs of the residents and shall meet the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council. All food shall be selected, stored, prepared and served in a safe and healthy manner. This requirement is not met as evidence by: Based on observation, interviews, and record review, the licensee did not ensure the facility had a stocked refrigerator or pantry for a sufficient amount of food suplies, nor does the facility have a seven (7) day nonperishable and two (2) day perishable food supply. This poses an immediate health and safety risk to residents in carethe state’s words, verbatim · CDSS document, Jan 22, 2026

Plan of correction: Licensee shall immediately purchase and maintain sufficient food supplies to meet regulatory requirements. Licensee shall submit proof of food purchase (receipts) and photographs of stocked pantry and refrigerator to the Department by 1/23/26. Licensee shall also implement a system to ensure ongoing compliance with food storage requirements.

Type of visit: Case Management - Other

Licensing Program Analysts (LPAs) Sarina Ramirez and Eldin Serrano conducted an unannounced visit to the facility to conduct a Health and Safety check regarding complaint control number 56-AS-2026011213071. LPAs met with Med Tech Dayana Sanchez, and discussed the purpose of the visit. During the course of a complaint investigation conducted on 01/16/2026, Department staff learned that the facility is experiencing financial difficulties. LPA Ramirez conducted interviews with staff and outside parties, which revealed that the facility received shut off notices from utility companies to terminate the gas and water services due to nonpayment. It was also reported that the Licensees have consistently submitted late rent payments each month since March of 2025. The licensees did not notify the Department, the State Long-Term Care Ombudsman, residents, or their legal representatives as required by law. This poses an immediate health and safety risk to residents in care. Failure to provide timely notification of financial distress and potential impact on resident health and safety is a violation of Health and Safety Code 1569.686(a)(4)(5) and Title 22, Division 6 of the California Code of Regulations. Deficiencies cited under Health and safety code. The licensee was informed that a office meeting will be held regarding the status of the facility and license. An exit interview was conducted, during which Licensing reports were discussed. Copies of the reports, including Appeal Rights, were provided to Med Tech Dayana Sanchezthe state’s words, verbatim · CDSS document, Jan 22, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 1569.686(a-c) · Plan of correction due date: Jan 23, 2026

1569.686 (a-c) Licensee notification of specific events...(a)A licensee shall notify the department, the State Long-Term Care Ombudsman, all residents..in writing, within two business days..(b)upon receipt of the notice required pursuant...the department shall intitate a compliance plan...c) A licensee who fails to comply with this section may be liable for civil penalties in an amount not to exceed one hundred dollars ($100) for each day of the failure to provide notification required in this section. The total civil penalty shall not exceed two thousand dollars ($2,000)...Suspension or revocation proceedings pursuant to this subdivision shall be conducted in compliance with Section 1569.51. This requirement is not met as evidence by: Based on observation, interviews, and record review, the licensee did not notify the department or appropriate parties of the facilities financial difficulties This poses a potential health and safety risk to residents in carethe state’s words, verbatim · CDSS document, Jan 22, 2026

Plan of correction: The licensee agreed to Immediately notify the Department, residents, responsible parties, and the local Ombudsman program of the facility’s financial status and any potential impact on care by 01/23/2026. Submit a written plan to the Department detailing how financial obligations will be met to ensure continued operation and resident safety. Provide proof of payment for rent, utilities, and staff wages, submit a plan to ensure timely reporting of financial distress in the future by 01/23/2026.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with a staff and was granted entry to the facility. Facility administrator-Regina Chavez was been informed and arrived during this visit. At the time of the visit there was five (5) staff present, and twelve (12) residents present. The facility is a nine (9) bedrooms and four (4) bathrooms, with a kitchen/dining area, living room, and no garage. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (18) current census (12) for total of eighteen(18) bedridden residents. LPA was accompanied by Facility Administrator Regina Chavez, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. There are no bodies of water. The facility is maintained at a comfortable temperature of 75 degrees Fahrenheit (F). LPA Singh inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be at 117 degrees F The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for resident/staff files. Medications are kept inside medicine closet inaccessible to residents. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. The facility had a sufficient amount of nonperishable and perishable food items. The food was kept in a safe and healthful manner. The facility menu was available for review. The freezer was 0 degrees F. The refrigerator was 40 degrees F. Dishes, glasses, and utensils were in good condition. Sharps and knives were locked and inaccessible to the residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department Record Review: LPA reviewed five (5) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. The facility had a designated area for staff and resident records. Emergency disaster plans, personal rights, and complaint posters were posted in a common area. The facility was equipped with a complete first aid kit and manual. There is adequate seating in the common areas. Facility had a description of activities chart and menu chart on the wall for the residents. Night lights were maintained in the hallways. Fire drill and Disaster/earthquake preparedness drill conducted on 08/28/2025. Liability Insurance valid through 10/30/2024 to 10/30/2025. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report LIC809, LIC809C were discussed and provided to the applicant Regina Chavez.the state’s words, verbatim · CDSS document, Oct 21, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to initiate a complaint investigation for complaint control number 56-AS-20250114121308. LPA met with Administrator Regina Chavez, and explained the purpose of the visit. R#1 no longer resides at the facility. An exit interview was conducted where this report was discussed, and a copy was provided to Administrator Regina Chavez at the conclusion of the visit.the state’s words, verbatim · CDSS document, Jan 16, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sarina Ramirez conducted an announced visit to the facility for the purpose of a Change of Ownership evaluation. LPA met with Administrator Regina Chavez. An initial application for change of ownership to operate a Residential Care for the Elderly facility (RCFE) was submitted to the Centralized Applications Bureau (CAB) on 04/02/2024 for a total capacity of eighteen (18) bedridden residents. Fire clearance was granted on 08/05/2024. LPA observed the following: There are nine (9) bedrooms and four (4) bathrooms. There are no bodies of water. The physical plant, in general, was in good repair. Buildings and grounds are free from hazards. Indoor and outdoor passageways were free of obstruction. There is a charged fire extinguisher, operating smoke alarms, and carbon monoxide detectors. There is a locked area for medications, cleaning supplies, and sharps. LPA observed a working telephone and basic laundry equipment. Resident bedrooms had the required bedding and furniture. Bedrooms had sufficient lighting. LPA measured the hot water temperature in the resident bathrooms, and it ranged from 104 to 108 degrees F. The facility had a sufficient amount of linen and hygiene items for the residents. The facility had a sufficient amount of nonperishable and perishable food items. The food was kept in a safe and healthful manner. The facility menu was available for review. The freezer was 0 degrees F. The refrigerator was 40 degrees F. Dishes, glasses, and utensils were in good condition. The facility had a designated area for staff and resident records. Emergency disaster plans, personal rights, and complaint posters were posted in a common area. The facility was equipped with a complete first aid kit and manual. There is adequate seating in the common areas. Facility had a supply of activities for the residents. Night lights were maintained in the hallways. Pre-licensing inspection is complete, and no corrections are needed to be made. Facility appears to be ready for licensure. An exit interview was conducted where this report was discussed and provided to the applicant Regina Chavez.the state’s words, verbatim · CDSS document, Oct 2, 2024