Routine inspection·November 26, 2024

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met Jasbindar Singh, Administrator and explained the purpose of the visit. The facility has a capacity of six (6) to serve residents from age 60 and above which may have six (6) non-ambulatory and approved for four (4) hospice waiver. One (1) resident is on hospice. Annual fee is current. Administrator certificate is current with expiration date on 4/11/25 The visit consisted of the completion of CARE tool, interviews of staff/residents, conduct of physical plant, and reviews of food supply/ medications/ facility records. This facility is a single story house located in a residential neighborhood in Covina. The facility consisted of five (5) bedrooms which including three (3) resident bedrooms and two (2) staff bedrooms, two (2) bathrooms, office, living room, dining room, kitchen, and back yard. Kitchen was clean and had maintained the required two (2) days perishable and seven (7) days non- perishable. Each resident's bedrooms were furnished with required furniture. Adequate linen and personal hygiene supply were observed. Bathrooms inspected and were clean, operable, with the required grab bars and non-skid materials in the shower. Hot water temperature was measured at 106.9 degrees Fahrenheit which was within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies were observed. Smoke detectors and carbon monoxide detectors were operable. Fire extinguishers were fully charged and last service was on 02/20/24. Fire drill was conducted on 11/19/24. Auditory devices were operable. Medication is centrally stored and current. Resident records were stored in a locked storage room and inaccessible to residents. Facility maintained a comfortable temperature of 73 degrees Fahrenheit for residents. No deficiencies cited per California Code of Regulations, Title 22. An exit interview was conducted. This report is discussed and provided to facility Administrator.