Routine inspection·November 7, 2023

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual investigation visit using the CARE inspection tool. LPA met with Jennifer Miano Caregiver and explained the reason for the visit. Leah Avila arrived within 10 minutes. The Facility is licensed to serve 6 ambulatory adults over the age of 60 years. The Facility is a single home in residential area with 3 shared rooms, 1 staff room, 2 bathrooms, a kitchen, living room, dining room a detached garaged, a backyard area, a front porch, and a front yard. LPA conducted a tour with Jennifer Miano and observed the following: Facility is in good repair indoors and outdoors. All passages, driveway, and exit are free of obstructions. Living/dining room has sufficient lighting and seating. Kitchen stores sufficient food supplies for at 7 days of non-perishable and 2 days of perishables. Sharps and cleaning supplies were observed locked in cabinet/ drawer. Each room (3) has sufficient lighting, furniture, and bedding supplies. Bathroom's (2) are in working condition, with grab bars/skid mat. Water temperature was tested in bathroom #1 at 132.6 and bathroom #2 at 134.4 degrees F., which is not within the required 105-120 degrees F. Smoke/Carbon Monoxide detectors were tested and in working condition. Fire extinguishers were observed and last check on 7/5/23. Front porch has some seating area for residents. Backyard was observed clean. LPA reviewed Emergency Disaster Plan, Infection Control, Liability Insurance and Surety Bond(facility handles P&I). Last emergency drill was conducted on 2/9/23. LPA Flores reviewed medication, files, and P&I for 5 residents. LPA reviewed 5 staff files. Administrator certificate was reviewed for Leah Avila #6020555740 exp. date: 10/9/24. Staff #4(S4) last first aid/CPR training was on 8/1/21. Deficiencies were noted during this visit per Title 22 Regulations. Exit interview was conducted with Leah Avila and a copy of this report, LIC 809D, and appeal rights were provided.