Routine inspection·August 9, 2023

On 08/09/2023 at 11:20 am, Licensing Program Analyst (LPA) Melissa Spaeth conducted an unannounced required annual visit. LPA Melissa Spaeth was greeted by caregiver. The facility is licensed as a Residential Care Facility for the Elderly (RCFE) to serve six residents of which six (6) may be non-ambulatory and one (1) may be bedridden. There is a hospice waiver for three residents. The facility currently has five residents. LPA and caregiver began the tour at 12:00 pm until 12:40 pm. Common areas – LPA observed the family room contained comfortable seating. Dining Room/Kitchen Combination – LPA observed a seven-day supply of non-perishable food and a two-day supply of perishable food in the refrigerator. At 12:25 pm, LPA Melissa Spaeth observed the kitchen knives, medications, PPE, and first aid kit were locked in a closet located in the kitchen. The cleaning solutions were locked underneath the kitchen sink. The fire extinguisher is located in the kitchen area. Backyard - LPA observed comfortable seating located in a shaded area. The gate leading from the backyard to the front yard was not locked. Resident Bedrooms – LPA observed the five residents’ rooms were neat and clean. The bedrooms contained bed, linens, night stand, night lamp, chest of drawers and closet. Bathrooms – The two bathrooms contained hand soap, paper towels, trash can, slip resistant mat, and grab bars. Hallway Closet – This closet contained clean linens. Garage – The garage was locked and contained the laundry detergent and an additional deep freeze filled with frozen meats. Smoke/Carbon Monoxide Detector - The detectors were tested at 12:30 pm and were functional. LPA reviewed the residents’ files at 1:00 pm until 1:30 pm.. LPA reviewed staff files at 2:00 pm until 2:30 pm. Pursuant to Title 22 Division 6 of the CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D). Exit interview conducted, Appeal Rights discussed, and a copy of the signed report was given to caregiver.