Routine inspection·June 27, 2025

Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct the Annual Inspection. LPA met with and explained the reason for the visit with Administrator (AD) Joseph Gitti and Harmen Jhutti. During this visit, LPA toured the facility inside & out. Resident rooms and common areas were clean, in good repair and contained required equipment, furnishings and lighting. LPA observed required items in bathrooms which were clean with faucets delivering hot water as required. LPA observed hygiene items, paper products, towels, extra bedding, and linens which were stored and available for use. The kitchen was found to be clean, with necessary items and appliances. LPA observed required food supply, emergency food, water, and paper products. Medications are centrally stored. Cleaning/disinfecting supplies and chemicals are locked and stored separate from food. Doors and passageways are unobstructed throughout the facility including outdoors. First aid kits contained required items. LPA walked the outdoors to find the grounds well-kept with clear walkways with sitting areas. Fire extinguishers were found to be charged and serviced 1/10/25 by Midstate Fire Co. LPA conducted resident and staff file reviews as well as a medication audit. Emergency Disaster and Infection Control procedures were reviewed during the inspection. A deficiency is being cited in accordance with California Code of Regulations on the attached LIC809-D. An exit interview was conducted and Plan of Correction (POC) developed. A signed copy of this report and Appeal Rights were provided. LPA requested the following updated forms faxed to CCLD by 7/7/2025- Designation of Facility Responsibility (Lic308), Administrative Organization (Lic309), Personnel Report (LIC 500), Client Roster (LIC 9020) and Proof of current Liability Coverage.