Routine inspection·November 7, 2023

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 12:00 p.m., the LPA met with the Administrator and explained the reason for it visit. At 12:10 p.m., the LPA, along with the Administrator 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/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 12:25 p.m., hot water measured at 105.1-degree Fahrenheit. Medications and first aid kit are located in a locked kitchen cabinet. Cleaning solution items were inaccessible and locked away inside a kitchen cabinet. 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. The facility has a sufficient supply of clean towels, blankets and linens. 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 materials. At 12:17 p.m., hot water measured between 105.2 and 108.1-degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels. OUTDOOR SPACE: At 12:13 p.m., the LPA observed the back patio which has a covered outdoor area for resident use. There is a gate on the side of the house designated for an emergency exit. Passageways were free and clear from obstruction. There are no bodies of water on the premises. GARAGE: The garage is attached to the house and remains locked and inaccessible to residents. Cleaning solutions, toxins, chemicals and hazardous items were inaccessible and locked away in the garage. The laundry units are located inside the garage. The property is connected to a city approved ADU. The individuals living in the home do not have access to this facility. Continued on LIC-809-C. 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 within the year. At 12:23 p.m., fire alarms/carbon monoxide detectors were tested and functioned properly. Signs are posted throughout facility to promote handwashing, and cough/sneeze etiquette. Between 12:25 p.m. and 12:32 p.m., the LPA conducted interviews with two (2) out of five (5) residents and one (1) staff. RECORD REVIEWS: Between 12:35 p.m. and 12:55 p.m., the LPA conducted a personnel file review for all staff regularly scheduled and reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR certificates, and staff training records. All files were in order. Fire and earthquake drills conducted within the last 6 months. Additionally, the LPA obtained copy of valid liability insurance and Facility Emergency and Disaster Plan. No deficiencies cited at this time. Exit interview conducted. A copy of the report was issued.