Ageway Boarding Care #3.

At around 9:00 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct an annual required inspection. LPA met with staff Marina Velasquez and explained the purpose of the visit. Administrator Ana Dayeh and Mihael Dayeh were not available to attend; however, Mihael authorized staff member Marina to sign reports. The facility has 5 residents and 2 staff members observed during the visit. LPA inspected the facility inside and out, including, but not limited to, resident rooms, bathrooms, the dining area, the garage, and the backyard. There was a sufficient supply of perishable and non-perishable foods. Smoke detectors and carbon monoxide were tested and observed to be functional. The facility temperature was 71 F. Several fire extinguishers were observed to be full and last serviced on 01/06/2026. The last fire drill was conducted on 2/10/26. Emergency and Disaster Plan (LIC 610E) last updated on 2/10/26. Liability Insurance Policy Number 01000559318, effective from 9/7/25 to 9/7/26. Hot water measured at 114.7-degree F. LPA reviewed 5 staff files. LPA reviewed 5 residents' files. All staff are fingerprint cleared and associated with the facility. Report continue on LIC 809c... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Deficiency Observed: At 10:30 am, LPA observed that the front window screen was ripped. LPA observed that the RM 1 closet door is in disrepair. Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POCs) by the plan of correction due dates and/or any repeat deficiencies within a 12-month period may result in civil penalties . An exit interview was conducted, and Appeal Rights were provided.

At around 9:20 am, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct annual required inspection. LPA met with staff Marina Velasquez and explained the purpose of visit. Administrator Mihael Dayeh was not available to attending, however Mihael authorized staff Marina to sign reports. The facility has 5 residents and 2 staff observed during the visit. LPA inspected the facility inside and out including but not limited to resident rooms, bathrooms, dining area, garage and backyard. There was sufficient supply of perishable and non perishable foods. Smoke detectors and carbon monoxide were tested and observed functional. The facility temperature was observed at 71 F. There were several fire extinguishers observed that appeared full and last serviced on 1/06/2025. Fire Drill was last conducted 1/4/24. Liability Insurance Policy Expire on 9/07/2025. Hot water measured at 106.7-degree F. LPA reviewed 5 staff files. All staff are fingerprint cleared and associated to the facility. Report Continued on LIC 809c… 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Deficiencies Observed: At 9:30am, LPA observed medication, cream left on kitchen counter, prescribed eye drops inside refrigerator, and inside resident’s room/ bathroom. At 9:45am, LPA observed cleaning chemical (Clorox wipe, and Lysol Disinfected Spray) inside resident closet, bathrooms, and resident room. At 10am, LPA observed knives on drying rack, and in the kitchen drawer. At 10:15am, LPA observed two mold eggplant inside the refrigerator. At 10:20am, LPA observed transfer food from its original container/ packaging do not have label At 10:30am, LPA reviewed files 3 bedridden but facility did not get fire clearance At 11am, LPA file reviewed shows R1 without TB result At 11:10 am, LPA reviewed files R4 did not have a doctor order for bedrail At 11:15am, LPA reviewed files no update fire drill conducted. At 11: 35am, LPA observed the side gate can only open half was and the floor concert lift from the ground. Deficiency is cited per Title 22 California Code of Regulations (refer to Lic 809D). Exit interview was conducted and Appeal Rights was provided.

At around 10 am, Licensing Program Analyst (LPA) arrived unannounced to conduct annual required inspection. LPA met with staff Marina Velasquez and explained the purpose of visit. Administrator Mihael Dayeh arrived at a later time. Mihael authorized staff Marina to sign reports. The facility has 4 residents and 3 staff observed during the visit. LPA inspected the facility inside and out including but not limited to resident rooms, bathrooms, dining area, garage and backyard. Chemicals were locked in the garage. Knives and other sharp objects were locked in a drawer in the kitchen. There was sufficient supply of perishable and non perishable foods. Smoke detectors and carbon monoxide were tested and observed functional. The facility temperature was observed at 71 F. There were several fire extinguishers observed that appeared full and last serviced on 1/15/2024. Administrator provided LPA updated liability insurance, Resident Roster, Lic 500. At 10:05 am, LPA observed hot water in the kitchen measured at 127.6 F. At 10:55 am, LPA interviewed 3 residents. At 11:05 am, LPA reviewed 4 resident files and 4 staff files. All staff are fingerprint cleared and associated to the facility. They have current First aid/CPR training. At 12:10pm, LPA interviewed 2 staff. Deficiency is cited per Title 22 California Code of Regulations (refer to Lic 809D). Exit interview was conducted and Appeal Rights was provided.