Routine inspection·October 2, 2024

Licensing Program Analyst (LPA), Leizl de la Cerra, conducted an unannounced annual inspection at the facility mentioned above. At 10:45am LPA was greeted by the Administrator and LPA explained the reason for the visit. Administrator granted LPA access to the facility.. The facility currently has no residents, Facility is licensed to serve six (6) non-ambulatory residents, one (1) may be bedridden in room #3. The facility also has an approved hospice waiver for two (2) residents. The Annual Licensing Fees are current. With the assistance of the administrator, LPA conducted a physical plant inspection at 11:00am and following was observed. Bedrooms: The facility has a total of three (3) bedrooms. Three (3) bedrooms are designated for the residents. LPA observed all bedrooms are properly furnished and clean, All rooms have sufficient lighting. Bathrooms: LPA observed two (2) bathrooms. Appeared to be clean and in good repair. Well stocked with toilet papers, soap and paper towels. LPA observed the appropriate grab bar and non-skid mat. The hot water temperature measured at 112.6°F. Common Areas : The facility maintains a comfortable temperature at 76°F. The living room and dining area appeared clean and were properly furnished. No obstructions and or tripping hazards observed. There is a fire extinguisher by the dining area observed to be operational. CONTINUE to LIC809C Kitchen: The kitchen appliances were functional. Knives were stored in a locked drawer in the kitchen. Food preparation areas are clean. Garbage cans have tight fitting covers. Kitchen cleaning supplies were stored in a locked cabinet. Laundry Area: This is located in the bedroom hallway. There is a functioning washer and dryer. LPA observed laundry detergents and cleaning solutions were stored in locked cabinets. Outside areas: At approximately, 11:40am LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area. LPA observed a pool at the back surrounded by a black 5 ft tall fence inaccessible to residents . LPA observed the fence was locked and inaccessible to residents in care. LPA observed a garage converted into a staff quarter in the back area. Staff quarter observed to be locked and secured. Passageways and ramps around the home were clear of hazards. Smoke detectors/carbon monoxide . The facility uses a dual Carbon Monoxide/Smoke alarm detectors all over the common areas of the facility. At 12:15PM they were tested and deemed operational. One (1) staff record was reviewed, Administrator Baghdassarian record had the current 1st Aid/CPR training. Administrator certificate is valid and will expire on 11/08/2024. Postings: Ombudsman contact, personal rights, house rules, emergency disaster plan, activity schedule, and weekly menu were posted in the hallway. The facility was in compliance with Title 22 regulations. No immediate health and safety risks were observed during today’s visit. Exit interview conducted. Copy of report provided.