Routine inspection·June 11, 2025

Licensing Program Analyst (LPA) Zabel Chochian arrived at the facility today to conduct a required annual visit. Upon arrival LPA was greeted by Staff/Caregiver Ana Leyva. LPA introduced self. Caregiver contacted the Assistant Administrator Connie Roush by phone and was informed of the LPA's visit. Assistant Administrator arrived to the facility shortly after LPA. At approximately 11a.m., the LPA met with and interviewed three (3) residents. A physical plant tour was conducted with caregiver Ana Marie Leyva at approximately 11:45 a.m.. Facility is a single-story residence that consists of five (5) resident bedrooms and four (4) bathrooms. There is one (1) additional bedroom for staff use. The facility serves residents with dementia, the auditory alarms on the exit doors were tested and functioned properly at the time of visit. Kitchen : The 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; Sharp objects are stored in a locked cabinet to the left of the dishwasher. At 12:30 p.m. hot water measured at 115.2 degrees Fahrenheit. Bedrooms: All resident’s bedrooms were properly furnished with at least one chair, a bed, night stand, chests of drawers, and sufficient lighting for each residents. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. The bedrooms were large enough to allow for easy passage between the beds and furniture. In addition, no bedroom was used as a passageway to another room, bath, or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair. Bathrooms: LPA observed all bathrooms were clean, properly supplied and had functional fixtures. The LPA observed grab bars and non-skid mats in all bathrooms. Residents have sufficient amounts of supplies for personal hygiene. Hot water was measured in two (2) bathrooms and observed within the required limit of 105-120 degrees Fahrenheit (116*5-118.6*f). Continue to LIC809c.. Common Areas: These included the living room and dining area. The common areas were checked for cleanliness and furniture was checked for functionality during time of visit. The facility maintained a comfortable temperature of 75 degrees. The LPA observed the required postings in the entry way and common sitting area. LPA observed video cameras (no audio) in common areas. Garage: The garage is where the washer and dryer are held, including additional non-perishable emergency food items and emergency water. Cleaning supplies and disinfectants are kept in locked cabinets in the garage all cleaning compounds were stored in areas separately from food supplies. Surrounding Grounds (Outdoors) : The front yard is free of obstructions, the two side gates have a self-latching door. There is a yard area in the front of the house. LPA also observed a patio in the back yard which had shade and seating areas and proper furniture for residents to enjoy. There were no bodies of water noted. File review: A review of facility files was initiate at 12p.m. and the following was observed. LPA reviewed three (3) of three (3) residents files and three (3) staff file including the administrator’s. All documents reviewed appeared complete and current. Additionally, LPA observed documentation of Infection Control, Disaster prevention and last fire drill conducted on 03/06/2025. Interview conducted with two (2) staff at approximately . Medication audit: Medications review began at 1p.m.; medications are centrally stored and locked in a cabinet in the living area; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record. No errors observed during the medication review. Combination smoke alarms and carbon monoxide detectors were tested at approximately 2pm and were operational during the visit. LPA observed (2) fully charged fire extinguishers purchased on 02/18/2025. LPA requested an updated LIC500 and facility Liability Insurance be emailed to the Regional Office. No deficiencies cited at this time. Exit interview conducted. Report issued and provided to Administrator.