Routine inspection·October 15, 2024

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met Phuoc (Henry) Truong, administrator. LPA explained the purpose of the visit. The facility has a capacity of six (6) including five (5) non-ambulatory and one (1) bedridden. The facility has approved of six (6) hospice waiver. Currently, five (5) residents are non-ambulatory and no bedridden residing at the facility. Annual licensing fees are current. Two live-in staff are residing in bedroom #6. The inspection consisted of using CARE tool, conducting physical plant, review of food supply, reviews of staff/residents records and medications. The facility is a single-story house located in a residential neighborhood in Covina consisted of six (6) resident bedrooms, two (2) bathrooms, living room, kitchen, backyard with shaded area, and laundry room. Residents' bedrooms have dresser, chairs and closet spaces available. Bathrooms, kitchen, common areas were inspected and in compliance. Dual combo of smoke and carbon monoxide detectors are operable. Fire extinguishers are fully charged. Auditory devices are operable. Medication is centrally stored. Resident records are stored in a locked storage room and inaccessible to residents. Two (2) days perishable and seven (7) days non-perishable were observed. Hot water temperature was in a range of 114.2 degrees Fahrenheit which was within Title 22 Regulation guidelines. Annual fees are current. No deficiency is cited per California Code of Regulations, Title 22. An exit interview was conducted and this report was provided to Henry, administrator.