Routine inspection·June 2, 2025

At 10:15a.m., Licensing Program Analyst (LPA) Antonia Alvizar-Ettima conducted an unannounced Required One (1) year inspection to the facility. LPA met with caregivers that granted entry to the facility and explained the reason for the visit. Later, Administrator joined today’s visit. At 10:45a.m., LPA and administrator conducted a physical plant tour inside and out. During the tour, LPA observed that the facility is a home located in a residential community. Required postings were observed in the entry area. The smoke alarms are operational, they are in each bedroom and hallways. There are carbon monoxide detectors that function properly. The fire extinguishers are located throughout the facility. The charge date is 02/14/2025. Fire/Earthquake emergency drill was last conducted on 05/14/2025. During this visit the facility is at 70 degrees Fahrenheit. The facility is fire cleared for six (6) non-ambulatory residents; two (2) hospice waiver. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following: Kitchen: LPA observed kitchen appliances and fixtures were functional. The kitchen has a working gas stove, faucet, freezer, refrigerator, and microwave. LPA found enough at least two (2) days perishable and seven (7) days non-perishable food at the facility that is properly stored. Frozen foods are wrap, dated, and stored properly as well. Knives were stored in a locked drawer in the kitchen. The menu was posted for review, snacks and beverages are available for the resident in the facility when they want. Food storage and preparation areas are clean and inaccessible to pests. Garbage cans have tight fitting covers. Cleaning supplies, pesticides or toxic cleaning supplies were stored and locked away in the kitchen under the sink. Cont. LIC 809-C Cont. LIC 809 Bedrooms: LPA observed seven (7) bedrooms designated for residents use. Bedroom #6 is vacant. All bedrooms were toured and observed to be clean and properly furnished with appropriate dresser, beddings, and linens with sufficient lighting. Bathrooms: LPA observed the bathrooms to be clean, sanitary and with necessary supplies. The appropriate grab bars and mats in the shower. Hot water temperature measured at a range of 109.9°F to 119.0°F and within the required range. Resident’s personal hygiene supplied are kept separate in clear plastic containers stored in a locked cabinet under the sink. Towels and washcloths are not shared. Common Areas: These included the living room and dining area for residents. The common areas were properly furnished. Furniture in common area was observed to be in good repair. Residents dining table fits six (06) residents. No obstructions and or tripping hazards throughout the facility. There are no issues with Fire Clearance. Surrounding Grounds : Entry and exits were free of obstruction. There was furniture appropriate for outdoor use. The outdoor area was free of hazards. The facility does not have a swimming pool or body of water. The facility does not have a garage, just a car port. Laundry Room: LPA observed washers and dryers machines l located between rooms #6 & #7 and inaccessible to residents in care. Linen are also storage in laundry room and observed to have ample supply of clean linen, comforters, and towels in facility. Cleaning supplies are being also stored in locked cabinets in the laundry room. Medications are in a centrally stored and locked medication closet, including over-the-counter medicines; medications are properly labeled and checked for expiration dates. Each centrally stored prescription and PRN medication has been logged in the medications log with proper documentation from the resident’s doctor. Proper medication dispensing instruction are followed and checked for contamination. First-aid has all proper items and were observed to be stored in medication closet. Staff Files : LPA conducted a file review of staff files for criminal record clearances and current First Aid. All four (4) staff files reviewed were current at the time of this visit. Resident Records . LPA conducted a resident record review for six (06) residents for requirements and legibility. All residents records were current at the time of this visit. Resident were also interviewed. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were found, exit interview conducted, copy of report has been issued and discussed.