Routine inspection·May 22, 2024

On 05/22/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA arrived, introduce self, and stated the purpose of the visit. LPA met with staff Beatrice Valentino. Licensee Amalia Necer was called and arrived shortly. LPA conducted tour with Licensee. All four residents were present during inspection. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside. LPA observed medications stored on kitchen counter accessible to residents. Cleaning chemical was observed stored under kitchen sink unlock. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature maintained at 35 degrees F and freezer temperature at -1 degree F. Fire extinguisher was observed with a service date of: 05/22/24. Medications were checked and observed kept locked in laundry room cabinet. Residents’ MARS was reviewed. Residents' bedrooms were toured and observed to be adequately furnished with bed, dresser, and adequate lighting. Bathrooms were properly equipped, and the hot water temperature was tested range between 110.9 and 111 degrees F in shared bedroom and 110.8 in bathroom. Smoke detectors were tested and observed to be operational. Outside of facility toured. Side gate was self-closing and self-latching. All residents’ and all 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. The following documents are requested to be submitted to the department by 05/28/24: Lic 308, Lic 500, Lic 610E, current liability insurance, and current Administrator Certificate. A copy of this report and appeal rights was provided to Licensee, whose signature on this form confirms receipt of these report.