Routine inspection·February 7, 2025

Licensing Program Analyst (LPAs) Stevenson and Arnhold arrived unannounced at approximately 9:15 AM to conduct a 1-Year Required Annual Inspection. LPAs was met by administrator Rolondo Macaraig and assistant administrator Shannon Gayski. There were 12 residents in care. At approximately 9:45am LPAs and care staff toured facility together to ensure health and safety of residents in care. Areas toured included but not limited to: common areas, resident bedrooms, kitchen, common restrooms, outdoor storage areas including locked and fenced pool area. LPAs observed the facility to be a comfortable temperature, clean, odor-free, numerous opportunities for activities were noted and underway with staff. Bathrooms were noted to have the necessary grab bars, non-skid flooring or shower chairs. LPAs observed each bedroom to have the necessary furnishings with working lights and windows with screens. Facility has a 2-day perishable and a 7-day non-perishable amounts of food and sharps were locked. Hot water temperature was measured within the required range between 105 and 120F. LPAs observed several charged fire extinguishers, hard wired smoke, and carbon monoxide detectors throughout the facility. Meds were centrally stored and locked and in good order. LPAs observed the first aid kit to be complete and ready for use. LPA reviewed a total of five (5) of 12 residents' files and five (5) staff files. Resident files reviewed, contained all the required documentation. 5 of 5 staff files reviewed did not contain evidence of completed annual training. LPAs were given update copies of Personnel Report (LIC500, Affidavit regarding cash resources LIC400, well bacterial testing, updated certificate of Liability Insurance) LPAs requested current lease agreement to be submitted to CCL within 30 days from this visit. Continued on 809-C Continued from 809..... Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. Appeal rights were given This report was reviewed with and appeal rights were given to administrator Rolando Macaraig