Routine inspection·March 2, 2022

Licensing Program Analyst (LPA) Joe Katrdzhyan conducted a site visit for the Required - 1 Year inspection. Upon arriving at the facility, LPA met with Assistant Administrator / Steven "Shay" James who assisted with the visit. The facility is licensed to serve six (6) ambulatory adults 60 years of age or older with developmental disabilities. Currently, there are five (5) residents in placement. The facility does not have an approved Hospice Waiver. The facility does not have an approved Dementia Care plan in its plan of operation and does not accept residents with dementia. During today's visit, LPA used the infection control domain to complete the Required - 1 Year inspection. Also, the physical plant was toured, medication and food supplies reviewed. The facility is vendorized by the Frank D. Lanterman Regional Center, Level 3 home. The facility is located in a residential / commercial area. A tour of the single-story facility includes: three (3) resident bedrooms, two (2) resident bathrooms, one (1) staff bedroom with its own private one (1) bathroom, living room, dining room, laundry room, kitchen and indoor/outdoor activity areas. All medications for residents who need assistance are kept locked and inaccessible to other residents. Knives, disinfectants and cleaning solutions are kept locked and inaccessible to residents. The bathrooms are clean and operational. Resident bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. The hot water temperature was tested throughout the facility. The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. LPA reviewed resident medications. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguishers (2) were fully charged and in compliance. The first-aid kit is fully stocked w/First-aid Manual. The front yard is well landscaped with steps and/or a ramp that leads to the entry. A shaded area with chairs is provided in the back yard. The backyard is free of debris/hazards and the outdoor and passageways are free of obstruction. The trash cans have covered lids. There is no evidence of bodies of water (pool) or security bars nor weapons on the premises. The following deficiency was observed during today's visit; At 12:38pm, the hot water temperature in the kitchen was measured at 125.5 degrees F. At 12:52pm, The hot water temperature in bathroom #2 was measured at 125 degrees F. The following deficiency was observed to be in violation of California code of Regulations, Title 22, Division 6 (refer to 809D) An exit interview was conducted and a copy of this report was provided to the Administrator along with the Appeals Rights.