Routine inspection·February 15, 2024

On 2/15/2024 at 3:00 PM, Licensing Program Analysts (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Meeran Saxena and explained the purpose of the visit. The facility’s fire clearance was approved for five (5) non-ambulatory and one (1) bedridden residents. There are 6 residents and 2 staff present during inspection. LPA toured facility with Administrator including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 8 total bedrooms which 6 bedrooms are occupied by the residents and 2 bedrooms are occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Hot water temperature measured at Degrees Fahrenheit. Smoke detectors and carbon monoxide detector were in operating condition during visit. Fire extinguisher was serviced on 3/17/2023. Emergency Disaster Plan was last updated on 3/23/2023. First aid kit was observed to be complete. Fire drill was last done 12/18/2023 At 3:30 PM, LPA reviewed 3 staff records and 2 of 3 have current first aid training and at least 1 staff have CPR training per shift. REPORT CONTINUES 809C Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 2/29/2024 LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate No Deficiencies cited during visit Exit interview conducted and a copy of this report provided.