Routine inspection·May 24, 2024

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met Laura Aguilar, Administrator assistant who assisted with the visit. The facility is licensed to serve six (6) non-ambulatory residents in the age range of 60 and over. The facility has a hospice care waiver for six (6) residents. Annual fees are current. Administrator certificate is current, expires on 09/23/24. During the visit, the CARE tool was used; a tour of the facility was conducted; food supply was reviewed; staff/residents files were reviewed; staff/residents interviews were conducted; and medications were reviewed. The facility was a single family with four (4) resident rooms, two (2) bathrooms, front porch, backyard, and attached garage. Resident rooms had the required furniture and in compliance. Bathrooms inspected were clean, operable, with the required grab bars and non-skid materials in the shower. Hot water temperature was measured in a range from 106.1 to 111.6 degrees Fahrenheit. Adequate linen and personal hygiene supplies were observed. Sufficient supply of two (2) days perishable and seven (7) days non-perishable foods was observed in the kitchen and garage freezer. Smoke detectors and carbon monoxide detectors in residents' rooms were operable. Auditory devices were operable. All mandated documents and signages were posted in common areas. There was shaded patio and garden areas with ample seating. Medications were centrally stored and locked. Resident and staff records inspected were current. Fire/ Emergency drill was conducted on 02/26/24. No deficiencies were observed to be in violation of California code of Regulations, Title 22, Division 6. An exit interview was conducted. This report was discussed with Administrator and report LIC 809s were provided.