Routine inspection·October 28, 2024

On 10/28/2024 at 12:00 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a 1-year Annual Inspection. LPA was greeted by one Care Staff upon entry and explained the purpose for the visit. LPA was greeted shortly after by Meina Wu, Administrator (ADM) LPA requested a staff and resident roster. LPA was screened at the entry. Masks, gowns, gloves, additional sanitizer, and a visitor sign-in log is centrally stored inside the facility that is accessible to all care staff. LPA toured the facility including, but not limited to common areas, bathrooms, bedrooms, kitchen, storage and backyard. LPA observed adequate lighting and good repair of all rooms. All shared areas had covered garbage cans. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. All hand washing stations were equipped with soap and paper towels. Hot water temperature was measured at 110.1 degree Fahrenheit (F) and the facility's temperature was 69 degree (F). Fire extinguisher was observed full and last inspected on 04/22/2024. Smoke/Carbon Monoxide detectors were observed operational and first aid kit complete. Emergency disaster drill last conducted 07/2024. The following forms are to be updated and submitted to CCLD by 11/04/2024: -LIC500 Personnel Report & Resident Roster -LIC308 Designation of Administrative Responsibility -LIC610 Emergency Disaster Plan (Reviewed) -An updated copy of Co-Administrator Certificate Continued on LIC809C... ...continued from LIC809C. -At around 03:45 PM M attresses in the hallway, wooden boards, black metal fencing, paint, and debris from construction on the side of the house and in the backyard. Deficiencies observed (see LIC809D) and cited from the California Code of Regulations. Exit interview conducted and a copy of this report provided to Meina Wu, Administrator