Routine inspection·April 2, 2025

On 4/02/2025, Licensing Program Analyst (LPA) de la Cerra arrived at the facility at 10:30AM to conduct an unannounced annual inspection. LPA met with the facility administrator and LPA informed administrator the purpose of the visit. At approximately 11:00AM LPA and administrator toured the facility and the following was observed. The facility is a single-story building that consist of five (5) bedrooms and two (2) bathrooms. LPA observed two (2) fire extinguishers, both were observed to be fully charged and was purchased on 4/12/24. LPA observed the required facility postings in the bedroom hallway. The facility provides a telephone for clients to use and LPA observed the phone to be operational. LPA observed dual smoke/carbon monoxide detectors that are hard wired and interconnected. Administrator tested the dual smoke/carbon monoxide detector @1:00pm and was observed to be operational. Administrator showed LPA the fire drill and earthquake drill log and both were conducted on 1/07/2025. Bedrooms: There are four (4) bedrooms designated for residents to use . All bedrooms are furnished with a night stand, a chair, a lamp, a closet and a bed with clean bedding and linens. All bedrooms appear to be clean and very well maintained. Bathrooms: LPA observed two (2) bathrooms that are in good repair. LPA observed the functional and appropriate fixtures. The hot water temperature measured between 108°- 112°F. LPA observed the appropriate grab bars and non-skid mat in the shower area and by the toilet. Common Areas : The living room appeared clean and were properly furnished. No obstructions and or tripping hazards observed in the common area. Laundry Area: LPA also observed the washer and dryer located in the staff room/office. LPA also observed the staff room/office to be inaccessible to residents where the laundry detergents and some cleaning solutions are stored. Surrounding Grounds: There are no bodies of water at this facility. LPA observed a seating area at the front of the house with shade available for residents to use. LPA also observed additional seating area at the back of the facility. All the outdoor furniture were observed to be clean and well maintained. Facility Records: At 12:05PM LPA conducted review of resident records and staff records. LPA reviewed five (5) out of five (5) resident records and three (3) staff records to ensure compliance. The facility files were kept in locked in the staff room/office. Medications: The medications were kept in locked cabinet in the kitchen area and are inaccessible to residents in care. The first-aid kit is complete. At approximately 1:00PM medications and medication records were reviewed for proper documentation. The facility keeps a Medication Administration Record (MAR) for all the residents. Administrative: LPA requested for copies of the following; liability insurance good until 5/09/2025,, administrator certificate, LIC9020 and LIC500. No deficiencies cited during today's visit. Copy of this report was provided to the administrator