Routine inspection·October 21, 2024

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met Jennifer Sandoval, administrator assistant/ House Manager and the purpose of the visit was explained. The facility was licensed to serve five (5) bedridden and one (1) ambulatory residents, ages 60 and above. The facility had an approved Hospice Waiver for six (6) residents. No resident was bedridden. Three (3) residents were on hospice. Annual fees were current. Administrator certificate was current until 11/30/24. This annual visit consisted of using CARE tools, physical plant, review of food supply/medications/ resident files/ staff files and residents/staff interviews. The facility is located in a residential area, a single-story home consisted of six (6) bedrooms, three (3) bathrooms, kitchen, dining room, and living room with a TV. Kitchen was clean and has maintained the required two (2) days perishable and seven (7) days non-perishable. Bathrooms inspected were clean, operable, with the required grab bars and non-skid materials in the shower. Facility maintains a comfortable temperature of 74 degrees Fahrenheit for residents. Residents' bedrooms settings were in compliance. Adequate linen and personal hygiene supply were observed. Dual combos device (smoke detector combined with carbon monoxide detector) were operable and hard wired. Fire extinguishers were fully charged Auditory devices were operable. The last Fire/ Emergency Drill was conducted on 8/16/24. Outdoor activity area had a shaded patio with ample seating. Medication /resident files/staff files were centrally stored in a locked storage room and inaccessible to residents. Deficiency was cited per California Code of Regulations, Title 22. An exit interview was conducted and this report was provided to Jennifer.