Routine inspection·January 14, 2025

On 01/14/2025 at 8:50AM, Licensing Program Analyst (LPA) T. Syess-Gibson conducted an unannounced 1-Year Required inspection. LPA met with Caregiver Charmaine Walters Givans, spoke with Administrator, Rajwant K. Panesar via telephone, and explained the purpose of the visit. Administrator arrived at 10:00AM and currently holds a certificate (#7014378740) that expires on 12/18/2025 per CDSS portal. The facility’s fire clearance was approved for six (6) non-ambulatory residents. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and back yard. The facility consists of six (6) bedrooms and three (3) bathrooms. All outdoor and indoor passageways are kept free of obstruction. LPA did not observe any bodies of water. A comfortable temperature is maintained at 74 degrees Fahrenheit. 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 100.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars. There is a minimum of 7-day supply of non-perishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last purchased on 07/22/2024. Emergency Disaster Plan was last posted on 12/2024. First aid kit was observed to be complete. Fire drill was last conducted on 12/29/2024. Continued on LIC809C. Continued from LIC809. Four (4) staff records were reviewed, all staff records were complete. LPA reviewed five (5) resident records, and they were current and complete. LPA reviewed a sample of medication during visit. LPA requested the following documents to be submitted to CCLD by 01/21/2025 . · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (last page) · Liability Insurance LPA observed the following deficiencies during visit: At: 9:15AM, LPA observed personnel and residents' files weren't available at facility for licensing to inspect. At 10:00AM, LPA observed during facility tour the single car garage has been converted into staff bedroom with a bed, suitcases, sofa, laundry detergent and hygiene products. At 10:15AM, LPA observed during facility tour a locked pantry door in kitchen with food, knives(sharps), and medications. At 10:21AM, LPA observed during tour facility side gate were locked. Staff removed lock during inspection. Civil penalty of $500 is being assessed. 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 a copy of this report, LIC421IM, and appeal rights provided.