Routine inspection·October 25, 2023

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 11:25 a.m., the LPA met with staff and explained the reason for the visit. At 11:39 a.m., the LPA spoke with the Administrator over the telephone. The Administrator was not available during the time of the visit and authorized staff, Chellsea Labestre to sign the report. At 12:04 p.m., the LPA, along with staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. KITCHEN: The LPA observed the kitchen/dining area. Knives are stored in a locked kitchen drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 12:05 p.m., hot water measured at 105.1-degree Fahrenheit. Medications and first aid kits are located in a locked cabinet near the kitchen area. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in a cabinet near the kitchen area. The laundry units are located near the kitchen area. BEDROOMS: The facility is a single-story residential home with nine (9) bedrooms, six (6) for resident's use and three (3) for staff. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. RESTROOMS: The facility has eight (8) restrooms, six (6) for resident use and two (2) for staff/ public use. Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. Starting at 12:11 p.m., hot water measured between 105.7 and 112.0-degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels. OUTDOOR SPACE: At 12:12 p.m., the LPA observed the back patio and side patio which has a covered outdoor area for resident use. There gates on the side of the house and the back designated for an emergency exits. There are no bodies of water on the premises. Continued on LIC 809-C. COMMON AREAS: The LPA observed the common area to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and last serviced on 05/05/2023. At 1:12 p.m., fire alarms/ carbon monoxide detectors were tested and functioned properly. Night lights were present in the hallway. The LPA observed an activities cart near the dining room for resident use. Between 12:27 p.m. and 12:54 p.m., the LPA interviewed five (5) residents and two (2) staff. Due to time constraints the LPA will return to complete the annual at a later date. No deficiencies were observed at this time. Exit interview conducted. A copy of the report was issued.