Routine inspection (multi-day)·March 4, 2024

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced case management - annual continuation visit. LPA met with Adelaida Asuncion (Administrator) and explained the reason for the visit. The initial annual visit was conducted on 01/23/24. The facility is a single-story house located in a residential neighborhood. It consists of five (5) bedrooms including three (3) resident bedrooms, one (1) staff room, one (1) room for family member; three (3) bathrooms, kitchen, dining room, living room, and detached garage. During the visit, the CARE tool was used, facility was toured, staff/residents files were reviewed. Residents medications were reviewed. No pools and bodies of water on the premises. All residents' bedrooms and bathrooms were inspected. Common areas were observed for the ability to safely serve the needs of the residents. Hot water temperature was tested in all bathrooms,and reading shows 100.4 degree F. Adequate linen and personal hygiene supplies was observed. Auditory alarm devices to monitor exits were operable. Last fire drill was conducted on 12/10/23. Sufficient supply of perishable and nonperishable foods is observed. There is additional food in the refrigerators located in the garage. Knives and sharps are locked in the kitchen and inaccessible to residents. Smoke detectors and carbon monoxide detectors are operable. Fire extinguisher observed in the dining room and fully charged. Laundry area was observed in the covered patio between the house and garage. Laundry detergents were observed unlocked next to the washer and dryer. The outdoor activity area has a shaded patio with ample seating. Medication is centrally stored in a locked cabinet; resident and staff records are stored in a locked room and both inaccessible to residents. First Aid kit was fully stocked with current manual. LPA reviewed 3 residents' medications. R1's Folic Acid 1 mg and Aspirin EC 81 MG were present at the facility / prescribed by the doctor, but not listed / recorded on the MAR. Per California Code of Regulations, Title 22, the deficiencies observed are documented on the attached 809D. Exit interview held. A copy of the report and appeal rights were provided to Adelaida Asuncion.