Routine inspection·January 26, 2024

Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a 1-Year Annual Required visit on this date starting at 9:00am. Upon arrival, LPA was greeted by Caregiver, Marilou Aguilar. Administrator was not available during visit. The facility's fire clearance was approved for all may be non-ambulatory LPA toured the facility with Caregiver including but not limited to the bedrooms, bathrooms, kitchen, common areas, and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 69 degrees F. 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 111.6 degrees F. Residents’ shared bathroom is equipped with grab bars and non-skid mat. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 02/07/2023. Emergency Disaster Plan last updated 7/22/2023. Fire drill was last conducted on 09/08/2023. First aid kit was observed complete. LPA reviewed 3 staff records and 3 of 3 staff are associated and have first-aid training. LPA reviewed 5 resident records. report continues on LIC809-C The following deficiencies were observed during visit: At 9:00am upon arrival LPA observed a roll out bed with bedding in living room. Caregiver stated that they used it to sleep on. Caregiver removed bed during visit. Deficiency cleared At 11:01 during tour LPA observed walk way/ fire exit outside blocked (door leading outside from room 1 is inaccessible.) The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.