Routine inspection·June 25, 2021

This report was conducted on 6/25/2021, however LPA wrote the report under the wrong facility. Times and dates of this report, reflect the time and date the inspection took place. Licensing Program Analyst (LPA) Patrick Shanahan, Angela Panushkina, and Melissa Ruiz conducted an Annual Required visit and inspection of the facility. LPA met with Ariel Mastov. LPA explained the reason for the visit. A tour of the physical plant was conducted. All smoke alarms were tested and function properly. The fire extinguisher was last serviced on 3/21/21 . The carbon monoxide detector was tested and functions properly. Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives and detergents were stored in locked drawers and cabinets. Properly labeled medications were locked in a cabinet near the kitchen. Bedrooms: There were four bedrooms designated for residents' use and one staff bedroom. All bedrooms were clean, properly furnished and had sufficient lighting. Bathrooms: There were two bathrooms designated for residents' use. Both bathrooms were clean, properly supplied and had functional fixtures. Hot water temperature was 116.3 degrees Fahrenheit. Cleaning supplies were kept in locked cabinets. Common Areas : These included the living room and dining area. The common areas appeared clean and were properly furnished. Surrounding Grounds : Entry/exits were free of obstruction. The outdoor area was clean and free of hazards. Pursuant to Title 22 Division 6 Chapter 8 of the CA Code of Regulations, the no deficiencies were cited : Exit Interview Conducted / Appeal Rights Discussed / A Copy of the Report Issued.