Routine inspection·January 17, 2025

At 10:00am, Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced annual visit. LPA met with the Administrator and explained the reason for the visit. There is one entrance being utilized at the facility. The facility has a total of five (5) bedrooms and three (3) bathrooms. The facility is fire cleared for six (6) non-ambulatory, of which one (1) can be bedridden in room #5. Facility is also approved to have six (6) hospice residents. At 10:15am, LPA toured the kitchen area and observed enough supplies of staple non-perishable for minimum 1 week and perishable for 2 days at the facility. Food storage and preparation areas are clean and inaccessible to pests. All knives and sharps are observed to be locked in a kitchen drawer and inaccessible to residents. Laundry is located in a kitchen area and attached garage and kept locked and inaccessible to residents. At approximately, 10:25am LPA observed medications are centrally stored and locked in the cabinet, in a hallway and inaccessible to residents in care. There are five (5) bedrooms designated for residents use and have sufficient lighting. All bedrooms are properly furnished, clean and have appropriate bedding and linens. Facility has an awake staff. Auditory alarms were tested and observed to be operational. At 11:45am LPA observed all bathrooms are clean and in good repair. Properly supplied with toilet papers, soap and paper towels. The hot water temperature measured at 116.1°F. LPA observed appropriate grab bar and had non-skid mat. All trash cans in bathrooms had fitted lids to protect from cross contamination. Continued on LIC 809-C The facility maintains a comfortable temperature at 73°F. The smoke and carbon monoxide detectors are hardwired, interconnected and at 10:45am, LPA tested and observed to be operational. Fire extinguisher is located in the kitchen, and was purchased on 06/14/2024. At approximately, 10:55am LPA toured the outside area of the facility. LPA observed appropriate outdoor furniture, with a covered shaded area for clients. LPA discussed the importance of maintaining the care and supervision to meet the needs of residents. There are no bodies of water. LPA collected Certificate of Liability Insurance, Administrator Certificate and LIC500. Facility is within CA code of Regulations Title 22 or Health and Safety Code. No deficiencies were issued. Exit interview conducted and copy of report signed and delivered.