Routine inspection·January 4, 2024

On 1/04/2024 at 12:15 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct the required 1-year annual inspection. LPA was greeted by Care Staff, Jhon Marie Woffenden. Administrator, Joy Manalang later arrived at 1:20 PM. Facility is approved for all may be non-ambulatory residents. LPA toured facility including but not limited to residents bedrooms, caregiver 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 70 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 114.8 degrees F. 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. LPA observed carbon monoxide and smoke detectors during visit. Fire extinguisher was last purchased on 1/4/2024. Emergency Disaster Plan was last posted on 1/4/2024. First aid kit was observed to be complete. disaster drill was last conducted on 10/14/2023 . LPA reviewed 4 staff records and 4 of 4 are associated. LPA reviewed 4 residents records. Report continues on LIC809-C Updated copies of the following documents were requested for facility file and are to be submitted to CCLD by 1/19/2024: 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 with Administrator and a copy of this report provided.