Routine inspection·August 16, 2023

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection visit using the complete CARE Inspection Tool. Gohar Hovhannisyan, Staff allowed LPA Yee entry into the facility. The Administrator was contacted by staff and she arrived at 9:56am to conduct the visit. The facility is a single storey family home consisting of a living room, a dining room, a kitchen, 3 resident bedrooms, 2 common bathrooms and a attached garage. The facility is fire cleared for 5 non-ambulatory and one bedridden resident. Bedroom #3 is the room designated for the one bedridden resident. The following was observed on today's visit: The dining room and living room have the appropriate furniture for 6 residents and was clean The fire place was observed with a metal fire screen A carbon monoxide detector was observed in the dining room The kitchen has the standard equipment - stove, refrigerator, toaster oven, coffee maker and dishwasher was observed to be operational and clean. Knives are stored in a locked drawer. sufficient perishable and non-perishable foods were observed in the kitchen and in the garage The three resident bedrooms all contained 2 hospital beds, 2 chairs, 2 lamps, 2 dressers, a shared closet and blinds for privacy. No window bars were observed. Appropriate bed linens were observed on residents' beds minus the comforter due to the heat. Comforter kept in the linen closet with extra bed linens The two common bathrooms were toured. The common bathroom located by the garage is designated for staff use and does not have grab bars. The common bathroom located by resident rooms has a bath tub with a shower. A shower chair, grab bars and non-skid mat were observed. Water temperature tested in the sink read 106.5 degrees Fahrenheit. Per Administrator, the thermostat will be adjusted to a mid-range setting. The facility has 2 fire extinguishers purchased on 8/15/23. One is located in the dining room and one in the hallway by bedroom #3. A first aid kit and first aid manual was observed. Staff have current first aid training. Administrator has a current certificate - expires 12/28/24 The hardwired smoke detectors were tested and were operational Disinfectants, cleaning solutions and laundry detergents are stored in a locked cabinet in the garage. Also located in the garage are the washer and dryer and a second refrigerator for additional food A tour of the outside was conducted at 12:54pm. A covered patio with chairs and coffee table was observed in the backyard. The front yard and back yard were observed to be clean and well maintained. There were no bodies of water observed. There are ramps installed from the living room exit and bedroom #3. Trash cans stored in the front yard were observed opened and overfilled. One container had a discarded garden hose. Lids on the blue and green trash can were also cracked and need to be replaced. The facility has a Infection Control Plan, Plan of Operation and an Emergency Disaster Plan on the premises Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview was conducted, APPEALS RIGHTS were discussed and a copy was provided.