Routine inspection·February 26, 2024

On 02/26/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an annual visit. introduce self, stated the purpose of the visit and met caregiver John Ramirez. LPA toured facility with caregiver. Administrator Jack Hurley was called. Assistant Administrator (AA) Natalie Gako arrived shortly during tour. LPA our facility with AA. All six residents were present during inspection. The facility was observed to be at a comfortable temperature, clean, in good repair were observed inside or outside. Secure lock above top front door was observed . Medications were observed locked in kitchen shelves. MARs were reviewed. Extra linens were observed. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature is maintained at 40 degrees F and freezer at 0 degrees F. Fire extinguisher was observed with a service date of: 8/3/24. Cleaning supplies and chemicals stored and locked in garage and laundry room. Washer and dryer observed operational during inspection. Laundry detergent observed unlock in the garage. All bedrooms were observed to have the required furnishings and with adequate lightening. LPA observed in resident bedroom 3 with child locked doorknob . The bathrooms were toured and observed operational during inspection. Non-skid mat and grabbed bars were observed. Hot water temperature was tested at 115.7 in the bathroom 1, 105.4 in room 2 bathroom, 110.2 in room 6 bathroom, and 105.4 in room 1 bathroom. Outside of facility toured and observed to be free of debris. Side gate observed self-closing and self-latching. Adequate outdoor seatings available for residents. Carbon monoxide and smoke detectors were tested and observed to be operational. Half of the residents’ and 3 staff files were reviewed to have all the required documents. A deficiency is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report.