Routine inspection·July 30, 2025

At approximately 12:50PM, Licensing Program Analyst (LPA) Carol Fowler arrived unannounced to conduct a Required 1 Year annual inspection and met with Administrator Richard Bond Administrator, and explained the reason for the visit. LPA conducted a tour of the facility and observed the following: the facility was clean and at a comfortable temperature with all exits free from obstruction. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present. There is a sufficient supply of hygiene products, paper products, and linens available for resident use. Medication was centrally stored and secure. LPA reviewed 1 of 1 resident records, which were incomplete. LPA reviewed a sample of staff records. LPA reviewed 4 staff files. Staff files were incomplete. Administrator's Certificate# (6068508740) was current with an expiration date of 01/10/2026. The facility conducted fire and evacuation drill on 7/18/2025. Facility's fire extinguishers were last inspected 09/10/2024. Smoke detectors and carbon monoxide detectors were tested and operational. The amount of fresh and non-perishable foods are within regulation. Hot water temperatures in shared residents bathroom was within Title 22 regulations measured at 111.3 degrees Fahrenheit. Continued on LIC809C. Continued from LIC809C. DEFICIENCIES OBSERVED BY LPA At 1:00pm, LPA observed staff member not associated to the facility and not fingerprint cleared. At 1:05pm, LPA observed chemicals accessible lock broken. At 1:10pm, LPA observed family/recreation room converted into a bedroom. At 1:30pm, LPA observed a screw driver in an unlocked drawer in the family/recreation room. At 1:32pm, LPA observed chewable vitamins in an unlocked drawer in the family/recreation room. At 1:45pm, LPA observed two unlocked sheds located in the backyard. At 1:50pm, LPA observed window cleaner, a shovel and comet unlocked in the backyard at the outside sink. At 2:10pm, LPA observed plank on the fence broken, sowing machine, metal screen, broke down metal cabinet, bucket of nails, tool box with tools such as saw, jumper cables, electoral outlet. Hedge trimmers, screws, ladder, heavy duty stapler, 2 sinks, wood planks located on the side yard. * The total amount of civil penalties assessed on today's date is $500.00 for staff not being fingerprinted and associated.* Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC809D. Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. Exit interview conducted. A copy the appeal rights, LIC421BG, and the report provided.