Routine inspection·April 3, 2024

On 04/03/2024 at 1:15PM, Licensing Program Analysts (LPAs) T.Syess-Gibson and G. Luk conducted an unannounced 1-Year Required inspection. LPAs met with Caregiver Jane, spoke with Administrator, Bryson Wright via telephone, and explained the purpose of the visit. The Administrator arrived half hour later and currently holds a certificate (#6011933740) that expires on 08/07/2024. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of four (4) bedrooms and two (2) bathrooms. All outdoor and indoor passageways are kept free of obstruction. LPA did not observe any bodies of water. A comfortable temperature is maintained at 72 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 107.1 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and no skid mats .There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was purchased on 03/11/2024. Emergency Disaster Plan was last posted on 01/05/2024. First aid kit was observed to be complete. Fire drill was last conducted on 01/05/2024. Continued on LIC809C. Continued from LIC809. LPAs reviewed all Six (6) residents and Three (3) staff records and they were current and complete. LPAs reviewed a sample of medications. LPAs observed the following deficiencies: · At 1:29pm, LPAs observed an lighter in a unlocked drawer in the kitchen. · At 1:30pm, LPAs observed unlocked medicine in the refrigerator in the kitchen. Deficiencies were cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. LPAs requested the following documents to be submitted to CCLD by 04/10/2024. LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report (updated) LIC 610E Emergency Disaster Plan Liability Insurance Exit interview conducted. A copy of this report and appeal rights provided.