Routine inspection·January 7, 2025

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:51AM. The last annual visit was done on 02/26/2024. Administrator Zenaida Velasco opened the door at 10:53AM. Entrance interview conducted. Administrator reported to LPAsthat the facility does not have any residents at this time, that her family is living at the residence. No residents present. LPA toured the physical plant areas inside and outside, with Administrator at 10:54AM. BEDROOMS: There are four (4) bedrooms designated for resident use. Bedroom #2 and Bedroom #4 have a direct exit to the exterior. Each bedroom has adequate lighting. Bedroom #3 leads to a hallway, which allows for access to Bedroom #5 and Bedroom #6; however, those two rooms designated for staff. There is an exterior door that leads to Bedroom #5 and Bedroom #6. Staff are aware that once they have residents in Bedroom #3, staff would need to enter their rooms through the exterior door. Administrator stated that Bedroom #3 will most likely not be for resident use and plans to decrease capacity to five (5). RESTROOMS: There are two (2) bathrooms designated for resident use. There is a bathroom designated for staff use only. Bathrooms are in operating condition with grab bars. LPA observed one (1) restroom without a slip-resistant mat and Administrator stated they will purchase one. Hot water temperature was tested at 11:08AM and was 136.6 degrees F, which is above the required range. Administrator stated that family is currently living in the property and they prefer hot water, but the water temperature will be lowered before admitting residents and when family vacate. Continued on LIC 809-C COMMON SPACES: At the time of the visit, common seating area and dining room furniture were observed to be in good condition. The common spaces included the living room, dining area, activity room, entertainment room and office area. The LPA observed cameras in all common spaces and exterior. The LPA did not observe the required postings in the common hallway and Administrator was aware they are required to post posting throughout facility upon admission. Fire extinguishers were observed to be fully charged. The backyard has a covered outdoor area equipped with furniture for resident use. There are no bodies of water noted. KITCHEN: Appliances in the kitchen appeared functional. The supply of perishable and nonperishable food is adequate. LPA observed a locked drawer and cabinet for knives and medications. LPA advised Administrator to replace the locks as they were faulty at times. INTERVIEWS: No residents interviews as facility has no residents. RECORDS: No residents file reviewed as facility has no residents. MEDICATION REVIEW: No medication reviewed as facility has no residents. No citations were issued during today’s visit. Exit interview conducted, and a copy of the report provided.