Routine inspection·November 13, 2024

Licensing Program Analyst (LPA) Leizl de la Cerra conducted an unannounced Required 1 year visit to this facility. LPA was greeted by staff. Administrator, Estela Avetyan was notified by phone and arrived thereafter. A tour of the physical plant was conducted from 2:00PM to 3:00PM with staff member, Kara who escorted LPA throughout the facility. The facility has seven (7) private bedrooms, in which five (5) bedrooms are designated for residents, one (1) room is for staff use, one (1) empty room, with no clients and two (2) full bathrooms. Smoke detectors and carbon monoxide detectors were tested and functioned properly during time of visit. LPA observed three (3) fire extinguishers that appeared to be fully charged. Last disaster drill was conducted on Sept. 19, 2024. Kitchen: T he kitchen appeared clean and the appliances and fixtures functional during the time of visit. LPA observed a sufficient amount of perishable and non-perishable food at the facility; properly stored. Sharp objects and cleaning supplies are stored in a locked cabinet. . Medications are placed in a locked cabinet in the kitchen area. Bedrooms: The resident bedrooms were properly furnished with at least one chair, night stand and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. Bathrooms: LPA observed all bathrooms appear to be clean, properly supplied and had functional fixtures. LPA observed grab bars and non-skid mats in all bathrooms. Residents have sufficient amounts of supplies for personal hygiene. The hot water was measured within requirement of title 22 regulations. Common Areas: These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality. All areas were clean, sanitary and in good repair. Surrounding Grounds (Outdoors): There was a shaded area with proper furniture for outdoor use. There are no bodies of water on the premises. LPA conducted a file review for five (5) residents between 3:15PM to 4:30PM. While reviewing the records LPA observed various forms in residents files that were incomplete and/or missing required information. Due to time constraints, LPA was unable to complete the annual visit at this time. LPA did not finish reviewing staff records or medication documentation at the time of this visit. A follow-up visit will be conducted at a later date to complete the annual inspection. Deficiency observed (refer to LIC809-D). Exit Interview Conducted. Appeal Rights and a copy of this report issued.