Routine inspection·May 18, 2023

Licensing Program Analyst (LPA) Darius Williams conducted an unannounced annual inspection visit. LPA Williams met with Administrator Susan Baal, and discussed the purpose of the visit. LPA and the Administrator toured the facility. The kitchen was clean and in good repair. Medications were observed behind a locked cabinet inaccessible to residents. Refrigerator temperature reflected approximately 53 degrees Fahrenheit (F) via LPA handheld thermometer and freezer reflected 0 degrees F. Water temperature reflected approximately 109.1 degrees F. Dining room and living room were clean and in good repair. There was seating present to accommodate all residents. The hallway closet housed extra linens for residents. The LPA toured all bedrooms. All bedrooms had beds, required linens, chair, dresser, night stand, lamp, and space to accommodate residents. The LPA toured two bathrooms. Both bathrooms had non-slip mats and grab bars to assist residents as needed. The backyard space had a covered patio to keep residents out of the elements, and seating to accommodate. There is no pool on the premises. *Continued on LIC 809-C* Smoke detectors, carbon monoxide, and fire extinguisher were present and operational. LPA Williams reviewed 6 resident files. LPA reviewed Admission agreement and observed an addendum regarding refund policies. LPA Williams discussed with the Administrator changes to the policy to bring it in line with the California Health and Safety Code. Based on LPA's observation a deficiency is being cited on the attached LIC 809-D page. Refrigerator temperature reflected approximately 53 degrees F, via LPA Williams thermometer. Based on Title 22, Division 6, regulation, the maximum temperature allowed is 40 degrees F. The Administrator attempted to lower the temperature with no success. LPA tested refrigerator 3 times over a period of approximately 10 minutes. A plan of correction was discussed and reviewed with the Administrator. An exit interview was conducted and a copy of this report and appeal rights will be provided via e-mail.