Routine inspection·May 22, 2024

On 05/22/24, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection. LPA arrived, greeted, and allowed entry by Licensee Amy Dhillon. LPA conducted tour with Licensee. All five 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. An adequate supply of perishable and non-perishable food was observed. Refrigerator temperature maintained at 34.9 degrees F and freezer temperature at -2 degree F. Fire extinguisher was observed with a service date of: 03/07/24. Medications were checked and observed kept locked in laundry room cabinet. Residents’ MARS was reviewed. Knives and medication cups observed in kitchen drawers accessible to residents. 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 107.2 and 107.5 degrees F in shared bedroom and 108.1 in bathroom. Carbon monoxide and smoke detectors were tested and observed to be operational. Outside of facility toured. Side gate was self-closing and self-latching. All residents’ and a sample of staff files were reviewed to have all the required documents. A deficiency is being cited on the attached 809D in accordance to California Code of Regulations, Title 22, Division 6. Exit Interview conducted. LPA received copies of 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.