Routine inspection·June 15, 2023

Licensing Program Analyst(LPA) Christine Yee conducted an unannounced required Annual Inspection and met with Milagros Lopez, Administrator. LPA Yee explained the reason for today's visit. The inspection was conducted using the CARE tool. The facility is a single storey home consisting of a living room, dining room, kitchen, three bedrooms, a private bathroom, a common bathroom and a detached garage. The facility is fire cleared for five(5) non-ambulatory and one(1) bedridden. The following was observed on today's visit: the living room had the appropriate furniture the dining room was observed with a glass table and four chairs. staff and client files are stored in a cabinet in the living room the kitchen has a stove, refrigerator and dishwasher that were operational toxins and cleaning solutions are stored in a locked in a cabinet under the sink medications are centrally stored in a locked kitchen cabinet sharp knives are stored in a locked kitchen drawer washing machine and dryer are housed in a kitchen closet Perishables for 2 days and non-perishable foods for 7 days were observed water tested in the common bathroom read 110.9 degrees Fahrenheit bedroom #1 has 2 twin beds, 2 night stands, 2 chair, 2 lamps and no dressers bedroom #2 has 1 twin bed, 1 hospital bed with half bed rails, 2 chairs, 2 lamps and no dressers bedroom #3 has 2 twin beds, 2 night stands, 2 chairs and a two drawer dresser. the water tested in the private bathroom located in bedroom #3 read 108.9 degrees Fahrenheit. grab bars, non-skid mats and shower chairs were observed in both bathrooms. residents beds were observed with a fitted sheet and a blanket. Per the Administrator, the residents choose not to have the other beddings. Plenty of bed linens and towels were observed in a cabinet in the common bathroom. No mattress pads were observed the interconnected and hardwired smoke detectors were tested at 2:28pm and were operational. the disposable fire extinguisher located in the kitchen was purchased on 1/24/23 the facility has 2 carbon monoxide detectors - the smoke detector located in front of bedroom #1 is combined with a carbon monoxide detector and the second in in the living room. Both were tested and were operational The backyard has a table with 4 chairs and an umbrella. The front yard has a table and 4 chairs The front yard and backyard need general cleaning. Items such as mops, buckets, planters, pile of petrified wood, 2 shopping carts, garden hoses, unused trash cans, clothes rack, shower tools need to be put away or discarded. Overgrown weeds/grass need to be removed and the tables covered with bird feces and concrete floor covered with fallen fruits need to be rinsed off. Files were reviewed and noted on the inspection tool Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Any deficiencies not addressed on today's visit will be addressed on a return visit. Exit interview was conducted, Appeals Rights discussed and a copy was provided.