Routine inspection·May 16, 2024

On 05/16/2024 around 11:30 AM, L. Holmes Licensing Program Analysts (LPA) L. Hall arrived unannounced to conduct a required Annual Inspection. LPA was greet by a Care Staff, and explained the purpose of the visit. Isabella Joe, Administrator (ADM), was contacted by phone and said she'd arrive in about 10 minutes; ADM arrived around 12:00 PM. The Administrator holds a certificate #600897740 that expired 11/28/23; Guardian is delayed in processing certificates. The facility’s fire clearance was approved for six (6); two (2) may be non-ambulatory residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area, front yard, and back yard. The facility consists of four (4) bedrooms, a staff resting area/office, and three (3) bathrooms. All outdoor and indoor passageways are free of obstruction. A comfortable temperature was maintained at 74 degrees Fahrenheit (F). LPA observed lighting in all rooms to be adequate for the comfort and safety of all residents. The hot water temperature in the residents’ shared bathroom was measured at 107.7 degrees Fahrenheit (F). Residents’ bathrooms were equipped with grab bars and non-skid flooring. There was a 7-day supply of non-perishables and 2-days of perishable foods. Smoke detector and carbon monoxide units were in operating condition. Fire extinguisher was last serviced on 03//19/24. Emergency Disaster Plan to be updated. First aid kit was observed to be complete. Continued on LIC 809C... ...continued from LIC 809. - Post LIC 610D Emergency Disaster Plan - Review client and resident files for signatures. - Provide photos of cleared cob webs inside and outside of home - Updated facility sketch - LIC 200 - Update and post LIC 500 The following deficiency was observed. -At 3:15 PM, LPA observed there was not an updated fire clearance inspection for two ((2) of the four (4) non-ambulatory residents. The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in Civil Penalties. Exit interview conducted, Appeal Rights and a copy of this report provided to Isabella Joe (ADM).