Routine inspection·November 30, 2023

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection using the complete CARE Inspection Tool and met with Zhanna Davtian, Administrator. The reason for today's visit was explained. The facility is a single storey family home consisting of a living room, a dining room, a kitchen, 4 resident bedrooms, 3 full bathrooms and a attached garage. Located along the left side of the home and directly behind the garage is a fenced in swimming pool. The home is fire cleared for 5 NON-AMBULATORY and 1 bedridden resident. Bedroom #3 is designated for bedridden use. The following were observed on today's visit: The living room has the appropriate sitting for 6 residents, a coffee table, a television and a side table. The fireplace has a wire screen. The sliding glass door is equipped with a auditory device (operational) The dining room has a table with seating for 6 residents. The sliding glass door is equipped with a auditory device(operational) The kitchen has a stove, 2 microwaves and a refrigerator. Sufficient perishable foods were observed in the refrigerator. Sharp knives are stored in a locked box and is kept in a kitchen drawer. Adjacent to the kitchen is the laundry room with a washer and dryer. Detergents and cleaning supplies are stored in a locked cupboard. The garage is accessed through the kitchen and is primarily used for storage of the 7 days of non-perishable foods, 24 gallons of water, facility files, centrally stored medications, and bathroom supplies. Bedroom #2 and #4 both contain a twin bed, a chair, a night stand, a lamp and a closet. No dressers were observed. Bedroom #1 and #3 both contain 2 twin bed, 2 chairs, 2 night stands, 2 lamps and 2 closets. No dressers were observed. a private bathroom is located between bedroom #2 and #3. It contains 2 sinks, a toilet, a shower with a chair. Grab bars and non-skid mat were observed. Water was tested and read 120 degrees Fahrenheit. LPA Yee recommended that the water temperature to be adjusted slightly to ensure that the water temperature does not go beyond 120 degrees Fahrenheit. the bathroom located adjacent to Bedroom #1 contains a shower with a chair, a toilet, grab bar, a non-skid mat and a sink. The water temperature was tested and read 117.1 degrees Fahrenheit. the bathroom located adjacent to bedroom #4 contains a shower, sink, toilet, non-skid mat but no grab bars. Water temperature was tested and read 106.4 degrees Fahrenheit. The hardwired smoke detectors and smoke/carbon monoxide combination detectors were tested and were operational. the only fire extinguisher purchased on 2/11/23 is located by the front door. Extra bed linens, towels, blankets, comforters and pillows were observed in the hallway closet. First Aid kit contained the required tweezer, scissors and a common thermometer. First aid manual was also observed. All staff have current first aid/CPR training. Per tour of the physical plant, the outside areas and the pool were semi-clean due to the tree trimmers just trimming all the trees and the facility has not had the time to sweep up. The pool is secured with a 5 food rod iron fence. Per Administrator,replacement chairs and table been ordered for the backyard for outside activities. Trash cans located in the front were tightly sealed. Per review of facility files, the Licensee is the payee for Resident #6 and does not maintain a Surety bond. Per review of facility files, the Licensee was not able to provide evidence of Liability insurance except to provide copy of a insurance quote. Per review of the quote, the quote is for the three facilities owned by the licensee. They all share the same limit of 1 million per incident for a total annual aggregate of 3 million. Each facility needs to obtain liability insurance with the required limits. Deficiencies cited under California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview was conducted, APPEALS RIGHTS were discussed and a copy was provided.