Routine inspection·November 27, 2023

At 3:10PM Licensing Program Analyst (LPA) A. Gomez and Licensing Program Manager Y. Flores-Larios arrived unanounced to conduct a 1-Year Annual Required visit and met with Care taker, Melaine Rona . Administrator Tayyaba Chaudhry arrived at 3:25PM. LPAs toured and inspected the facility inside and outside with staff including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of seven (7) total bedrooms which Four (4) bedrooms are occupied by the residents and One (1) bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There were no bodies of water present at this facility. LPA observed medication to be locked. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the residents’ shared bathroom was measured at 109.3 degrees F. Resident's bathrooms have grab bars inside the shower and next to the shower. The shower has a non-skid mat. Hygiene items, extra linens and toiletry supplies were checked and sufficient. Fire extinguisher in kitchen was last serviced on 3/27/2023 , smoke detectors and carbon monoxide were operational. First aid kit was inspected and was incomplete. Food supplies were sufficient to meet 2-day perishable and 7-day non-perishable requirements. LPA observed a sample of medication. continued on LIC809-C Resident records were reviewed at approximately 3:40pm. Staff records were reviewed at approximately 3:50PM. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 12/04/2023: LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Updated facility sketch Exit interview conducted and a copy of this report provided.