Routine inspection·January 27, 2024

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:55 a.m. the LPA met with the Licensee and explained the reason for the visit. At 9:56 a.m., the LPA, along with the Licensee 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 drawer. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 9:56 a.m., hot water measured at 114.7-degree Fahrenheit. Medications and first aid kits are located in a locked kitchen drawer. BEDROOMS: The facility is a single-story residential home with three (3) bedrooms and two (2) bathrooms for resident's use. 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. RESTROOMS: Restrooms are relatively clean and sanitary and in operating condition with grab bars and non-skid mats. At 9:57 a.m., hot water measured between 110.0 and 115.2-degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels. Signs are posted throughout bathrooms and facility to promote handwashing. COMMON AREAS: The LPA observed common area to be relatively clean and properly furnished. The LPA observed the fire extinguisher to be fully charged and last serviced on 05/01/2023. At 9:59 a.m., fire alarms/ carbon monoxide detectors were tested and functioned properly. Laundry units are located in one of the hallways. Night lights were present in the hallways and passages. Continued on LIC 809-C. OUTDOOR SPACE: At 10:00 a.m., the LPA observed the front patio which has a covered outdoor area for resident use. There is a gate at the front of the house designated for an emergency exit. There are no bodies of water on the premises. Starting 10:07 a.m. the LPA conducted interviews with one (1) staff and one (1) resident. The Administrator’s certificate is active and expires on 03/16/2025 Due to time constraints the LPA will return to complete the annual at a later date. No deficiencies were observed at this time. Exit interview conducted. A copy of the report was issued.