Routine inspection·October 31, 2024

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Grace Luis an explained the reason for the visit. 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, laundry room, a detached garaged, a backyard area, a front porch/yard. LPA conducted a tour of the facility with Grace Luis and observed the following: Facility is in good repair indoor and outdoor. Living room/dining is in good repair. Kitchen was observed clean and stores sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables. Cleaning supplies, sharps, and medication were observed locked in the kitchen. Laundry area was observed in good repair. Three (3) bedrooms were observed in good repair with the required furniture, bedding supplies, and sufficient lighting. Two bathrooms were observed in good repair, water temperature was tested between 113.7-114.1 degrees F. Backyard and passageways were observed clear of obstructions and debris. Front porch provides a cover seating area. Carbon monoxide/Smoke detectors were tested and in good repair. No large bodies of water were observed. Fire extinguishers were observed. Facility has a first aid kit. LPA reviewed files, medication, and P&I money for 5 residents and 5 staff. Records for 20 hours of training for 4 staff were not observed. Last fire drill was conducted on 11/7/23. Administrator certificate was observed for Leah Avila #6020555740 exp. date: 10/9/24. Documents to renew have been submitted to the department. Emergency disaster plan and Infection control plan were reviewed. Deficiencies were noted on LIC 809D per Title 22 Regulations. Exit interview was conducted with Leah Avila and copies of this report, LIC 809D, and appeal rights were provided.