Routine inspection·February 27, 2024

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 1:06 p.m., the LPA met with staff and explained the reason for the visit. At 2:17 p.m., the Administrator, John Eugenio arrived at the facility. At 4:00 p.m., the Licensee, Akhtar Roshanaeian arrived at the facility. At 1:32 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. The facility is a single-story residential home with five (5) bedrooms, four (4) for resident use and one (1) for staff use and two (2) bathrooms. KITCHEN: The LPA observed the kitchen and dining area. Knives are stored in a locked kitchen drawer. Kitchen appliances are in operable condition. The facility does not have sufficient supply of perishable and non-perishable food. The Licensee stated that she goes grocery shopping once a week. At 1:51 p.m., hot water measured at 107.3-degree Fahrenheit. BEDROOMS: 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: Resident restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Starting at 1:46 p.m., the hot water temperature tested between 108.4- and 112.4-degree Fahrenheit. COMMON SPACES: At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed the fire extinguishers to be fully charged and last purchased on 01/27/2024. During the time of the visit, the LPA observed two (2) smoke alarms/ carbon monoxide detectors beeping indicating that a change of batteries is needed. Continued on LIC 809-C. OUTDOOR SPACE: The LPA observed the backyard, which has a covered outdoor area for resident use. The LPA observed a fenced swimming pool with a self-latching gate with a lock. At the time of the visit, the emergency exit was free and clear of obstruction. At 1:39 p.m., the LPA observed a hole on the back-patio ramp. At the time of the visit, two (2) out of four (4) residents (Resident #1, Resident #2) were identified as bedridden per their medical assessment. However, R1 is not in the identified bedridden room. Additionally, per the fire clearance, the facility can only have one (1) bedridden resident at a time, whom can only reside in Bedroom #1. An immediate civil penalty of $500 is assessed, due to a violation of the fire clearance. Starting at 1:53 p.m., the LPA conducted interviews with one (1) resident and two (2) staff. Pursuant to Title 22 of the California Code of Regulations Division 6, Chapter 8 and California Health and Safety Code the following deficiencies were cited (refer to LIC 809-D). The Licensee and Administrator were made aware that failure to correct the deficiencies may result in additional civil penalties. Due to time constraints the LPA will return to complete the annual at a later date. Exit interview conducted. A copy of the report and appeal rights were provided.