Most inspections found no deficiencies, with the facility consistently meeting regulatory requirements for safety, infection control, medication storage, and staff training. The most recent report from January 9, 2025, showed full compliance with no deficiencies observed. The only issues noted were two minor deficiencies in December 2021 involving hot water temperature and accessible scissors, both of which were corrected during the inspection. There were no fines, enforcement actions, or serious findings reported at any time. Several complaint investigations were not applicable as no complaints were filed during these inspections.
An unannounced annual inspection visit was conducted to ensure compliance with Title 22 regulations for a residential care facility for the elderly (RCFE).
Findings
The facility was found to be in full compliance with all regulatory requirements. No deficiencies were observed during the inspection, and all resident and staff files contained the required contents. The physical plant, safety equipment, medication storage, and infection control measures were all satisfactory.
Report Facts
Resident files reviewed: 3Staffing files reviewed: 3Resident interviews completed: 3Staff interviews completed: 3Fire extinguisher last checked: Jul 15, 2024Water temperature range (°F): 105-120Room temperature (°F): 73
Employees Mentioned
Name
Title
Context
Maricar Laurel
Administrator
Met with Licensing Program Analyst during inspection
Licensing Program Analyst Ruth Wallace conducted an unannounced required 1 year annual inspection visit to evaluate the facility's compliance with regulations.
Findings
The inspection found no deficiencies. The physical plant, food supplies, safety equipment, medication storage, resident and staff files, and staff training were all in compliance with regulatory requirements.
Report Facts
Fire extinguisher last inspection date: Jul 20, 2023Hot water temperature: 113.3Fire/disaster drill date: Jan 3, 2024
Employees Mentioned
Name
Title
Context
Maricar Laurel
Administrator
Met with Licensing Program Analyst during inspection
Licensing Program Analyst Ruth Wallace conducted an unannounced Required 1 Year Annual Inspection Visit to evaluate compliance with Title 22 regulations.
Findings
The facility was inspected for physical plant conditions, infection control, medication storage, and staff and client records. No deficiencies were observed or cited during the inspection.
Report Facts
Client bedrooms: 4Client bathrooms: 2Hot water temperature: 115.4Food supply duration: 2Food supply duration: 7Staff records reviewed: 2Client records reviewed: 2
Employees Mentioned
Name
Title
Context
Ruth Wallace
Licensing Program Analyst
Conducted the inspection and met with the administrator
Maricar Laurel
Administrator
Facility administrator met with the Licensing Program Analyst during the inspection
An unannounced annual inspection visit was conducted to evaluate compliance with Title 22 regulations and infection control measures at the facility.
Findings
No Title 22 deficiencies were observed during the visit. The facility was found to be clean, well-furnished, with adequate food supply and infection control protocols in place, including COVID-19 precautions. Fire safety equipment was compliant and staff had current fingerprint clearances.
The inspection was a required 1-year annual inspection conducted unannounced to evaluate compliance with licensing regulations.
Findings
The facility was toured and found generally compliant with adequate lighting, temperature, and safety equipment. However, two deficiencies were cited: excessively high hot water temperatures in shared bathrooms and accessible scissors in the kitchen posing a risk to residents with dementia. Both deficiencies were corrected during the inspection.
Severity Breakdown
Type A: 2
Deficiencies (2)
Description
Severity
Hot water temperature in residents' shared bathroom measured at 140 and 153 degrees F, exceeding the allowed maximum of 120 degrees F.
Type A
Two pairs of scissors were accessible to residents with dementia in an unlocked kitchen cabinet.
Type A
Report Facts
Hot water temperature: 153Hot water temperature: 140Hot water temperature after correction: 117Number of scissors accessible: 2Facility capacity: 6Census: 6
Employees Mentioned
Name
Title
Context
Maricar Laurel
Administrator
Met with Licensing Program Analyst during inspection and involved in correction of deficiencies
Treana White
Licensing Program Analyst
Conducted the inspection and documented findings
Liza King
Licensing Program Manager
Supervisor overseeing the inspection
Inspection Report Original LicensingCensus: 5Capacity: 6Deficiencies: 0Jan 12, 2021
Visit Reason
Announced pre-licensing visit conducted via Facetime to evaluate the facility for initial licensing to serve up to 6 residents.
Findings
The facility was toured via Facetime and found to have all required components including a locked medication room and fire extinguishers. No deficiencies were observed during the pre-licensing visit.
Report Facts
Fire extinguishers: 3Hot water temperature: 108.6
Employees Mentioned
Name
Title
Context
Mary-Carr Laurel
Administrator
Met with during the pre-licensing visit
Eric Stone
Licensing Program Analyst
Conducted the pre-licensing visit via Facetime
Liza King
Licensing Program Manager
Named in the report as Licensing Program Manager
Inspection Report Original LicensingCensus: 5Capacity: 6Deficiencies: 0Dec 23, 2020
Visit Reason
The visit was conducted as a pre-licensing inspection and application review for a change of ownership (CHOW) of the facility.
Findings
The applicant and administrator successfully completed Component II of the licensing process via telephone call, demonstrating understanding of Title 22 requirements including facility operation, staff qualifications, training, grievances, complaints, food service, and medication management.
Employees Mentioned
Name
Title
Context
Laurel Maricar
Administrator/Owner
Participant in COMP II and applicant/administrator verified during licensing process
Shannon Betker
Analyst
CAB analyst who conducted the telephone call and confirmed understanding of licensing requirements
Jude De La Concepcion
Licensing Program Manager
Named as Licensing Program Manager on the report
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