Routine inspection·September 12, 2023

Licensing Program Analysts (LPAs), Tihesha Smith and Gina Saucedo conducted an unannounced Required 1-year inspection at this facility at approximately 10:55 am. LPAs were greeted by the administrator and disclosed the purpose of the visit. LPAs conducted a tour of the physical plant at approximately 11:10 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Common areas were observed for the ability to safely serve the needs residents. These included the kitchen, dining room area and living room. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to be furnished appropriately. LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the four (4) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with meats and frozen vegetables. Sharps are stored in lower locked kitchen drawer near the stove. The resident medications are locked in hall cabinets near kitchen. The medications were observed to be inaccessible to residents. There are two (2) fire extinguishes located in the kitchen. Fire extinguishers observed to be charged. Laundry room is near detached garage. The appliances observed to be functional. Due to time constraints this required annual will be completed at a later time. Exit interview conducted/Copy of report given