Routine inspection·April 30, 2025

On 4/30/2025 @ 10:30am, Licensing Program Analyst (LPA) Leizl de la Cerra conducted the required 1 year annual inspection. LPA met with designated administrator, Rima Abelian. This is a single story residence consists of four (4) bedrooms and three (3) bathrooms. Fire Clearance was approved on 12/15/2017 (6) non-ambulatory and (6) bedridden clients . Approved hospice for two (2). A tour of the physical plant was initiated at approximately 11:00Am and the following was observed: The facility has two fully charged fire extinguishers inspected on 01/22/2025. One fire extinguisher is located in dining room area, and the other at the bedroom hallway. Facility maintains a telephone land line and it was observed to be operational. Required postings were observed in the dining area. The smoke alarms and carbon monoxide detector are hard wired and inter-connected. Staff tested the dual smoke/carbon monoxide detector @12:30pm and was observed to be operational. The facility maintains a comfortable temperature at 74 degrees Fahrenheit. The air conditioner is operational. Kitchen: The facility has a kitchen area that is equipped with a refrigerator, microwave oven and sink. There were adequate supplies of perishable and nonperishable food and dining ware to accommodate a maximum capacity of six (6). Knives are kept in a locked box. There is a staff workstation located at the corner of the kitchen. Continue to LIC809-C Bedrooms: LPA observed all four (04) bedrooms to be properly furnished with appropriate dresser, night stand, chair, beddings, and linens with sufficient lighting. Extra linens and beddings are stored in the hallway closet. Bedroom #1 is occupied and shared by two (2) residents. Bedroom #2 is occupied and shared by two (2) residents. Bedroom #4 is occupied by one (1) resident. Bedroom #3 is occupied and shared by two (2) residents. Bathrooms: LPA observed three (03) bathrooms at the facility, two (02) are for residents to use and one (01) is for staff use only which is kept locked. Resident bathrooms have hand washing signs, soap and paper towels. Proper grab bars and non-slip bath mats. The hot water temperature measured between 106°- 110°F. Outside : LPA toured the outside area. LPA observed a shaded sitting area for residents. There is a ramp access with sturdy hand railings. There is a locked detached garage. The detached garage is used as a storage room, used for storing supplies such laundry detergents, toiletries, PPE supplies, incontinence supplies and wheelchairs. The facility does not have any bodies of water. Staff Records: LPA Reviewed files for two (2) staff members between 12:30pm to 1:00pm. Files are maintained at the facility in a locked room. Residents Records: LPA reviewed files for six (06) out of six (06) residents between 11:30am to 12:30pm. Files are maintained at the facility in a locked room. The facility uses the Medication Administration Record (MAR) log to document medications given. Medications are administered as prescribed by the Physician. Medications are bubbled packed. Medications are in a locked room. Operational Requirements: Liability Insurance policy is valid and will expire on 6/13/2025. Fire drill was last conducted on 3/01/25 . The First Aid Kit is complete and current. Fire inspection completed on 1/22/2025. No deficiencies cited. An exit interview was conducted, and a copy of this report was provided to back-up Administrator, Rima Abelian.