Routine inspection·April 22, 2025

Licensing Program Analyst (LPA) Mayra Cota conducted an unannounced required annual visit. LPA met with Patrice Allen, Resident Manager and explained the reason for the visit and she assisted with the tour of the facility. The facility is licensed to serve 4 ambulatory only residents, ages 60 and over, of which one (1) may be non-ambulatory in bedroom #4. The facility is operating within the scope of its license. Residents receive services through the South-Central Regional Center. The facility is a single-story home located in a residential area of Paramount, CA. LPA and Resident Manager toured the home and inspected 4 resident bedrooms, 2 bathrooms, living room, dining area, office area, kitchen, activity room, laundry area, detached garage, front and backyard. During today’s visit, LPA observed the following: Inside the home: Living room and dining area are clean and furniture is in good repair. Both areas have enough seating for residents. Activity room was observed clean and activity items are accessible to residents. Game table is in good repair and available for resident's to use. ***Continues on LIC 809-C Kitchen counter tops and meal preparation surfaces were observed clean and free of clutter. Kitchen appliances were observed in operable condition during time of visit. Sharps/knives are kept locked in a kitchen cabinet. Cleaning supplies and toxins are also kept locked and inaccessible to residents in care. Sufficient supply of 2 day perishable and 7 day non-perishable food was observed and additional food is kept in an overflow freezer in the garage. Water dispenser is available for residents and kept clean and stocked with disposable cups. Resident bedrooms have the required furniture such as bed frames, dressers, lamps, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen and mattress pads. Extra resident mattress pads, bed linen, absorbency pads, and towels are kept in a closet. Resident bathrooms were inspected and were observed clean. Safety mats were observed and showers are equipped with safety grab bars. The water temperature was tested in both resident bathrooms and measured at 118.5 degrees F in bathroom 1- and 118.3 degrees F in bathroom 2 which is within the required 105 - 120 degrees F. Personal hygiene products are readily available for residents in care. Outdoor environment: The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area accessible to clients, located in the backyard. Ramps, passageways and exits are free of obstruction. Detached garage was inspected and it was observed clean and free of clutter. Garden area is well maintained and gardening tools are kept locked in the garage. Medication and Record Review : Resident medications are centrally stored and locked in medication drawer. Medication was observed to be administered per physician's orders and documented accordingly on MAR logs. Three resident and four staff records were reviewed. Records reviewed have all required documents. ***Continues on LIC 809-C Disaster Preparedness: Combination smoke and carbon monoxide detectors were observed throughout the facility and were tested and working properly at the time of visit. Three fire extinguishers were inspected and were observed charged. Emergency food and water supply is kept in the garage and readily available for use. First Aid kits and manual are kept readily available for use. Facility has an updated Emergency Preparedness and Infection Control Plan in place. No deficiencies cited today, per California Code of Regulations, Title 22, and California Health and Safety Code. Exit interview conducted with Patrice Allen, Resident Manager.