Routine inspection·March 28, 2024

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 10:57 a.m., the LPA met with staff and explained the reason for the visit. At 11:15 a.m., staff Viktorya Hayrapetyan arrived at the facility. The Administrator was not available during the time of the visit and authorized staff Viktorya H. to sign the report. At 11:50 a.m., the LPA, along with staff, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. KITCHEN: The LPA observed the kitchen and dining area. Knives are stored in a locked kitchen cabinet. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:51 a.m., hot water measured at 105.2-degree Fahrenheit. Laundry units, cleaning solutions, chemicals and hazardous items were inaccessible and locked away inside the staff/ storage room. Emergency water was also located in the staff/ storage room. First aid kit was observed in the kitchen. Medications are located in a locked kitchen cabinet. OUTDOOR SPACE: At 11:53 a.m., the LPA observed the back patio which has a covered outdoor area for resident use. Passageways were free and clear from obstruction. There are no bodies of water on the premises. There is a gate at the front of the facility designated for an emergency exit. BEDROOMS: The facility is a single-story residential home with five (5) bedrooms, four (4) for resident use and one (1) for staff use and three (3) bathrooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level. At 11:54 a.m., the LPA observed inoperable auditory devices in all resident room doors leading to the outside. Upon observation, staff stated that the auditory devices will be replaced with operable ones or fixed. Continued on LIC-809-C. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. Starting 11:55 a.m., hot water measured at 108.0-degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels. Signs are posted throughout the facility restrooms to promote handwashing. COMMON AREAS: The LPA observed common areas to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and last purchased on 03/28/2024. At 12:00 p.m., fire alarms/carbon monoxide detectors were tested and functioned properly. Facility telephone was observed during the time of the visit. Flashlights and night lights were observed throughout the facility. During the time of the visit, the LPA obtained copies of the following: Emergency Disaster Plan, Infection Control Plan, LIC 308, and LIC 500. The Administrator’s certificate is active and expires on 09/01/2024. Due to time constraints, the LPA will return to complete the annual at a later date. Pursuant to Title 22 of the California Code of Regulations Division 6, Chapter 8 and California Health and Safety Code the following deficiency was cited (refer to LIC 809-D). Exit interview conducted. A copy of the report and appeal rights were provided.