Routine inspection·February 6, 2024

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Regat Kebede and explained the reason for the visit. The Administrator's certificate expires on 3/15/2024. LPA and Administrator toured the facility. Facility is a 5 bedroom home with 3 bathrooms, kitchen, living room with a room divider, dining room and a two car garage. LPA observed the fireplace in the living is room is screened. LPA observed the PUB 475 poster does not measure 20 X 26 inches, it is 12 X 16 inches. LPA observed a two day perishable and seven day non-perishable food supply in the kitchen. LPA observed the stove lights unassisted. The fire extinguisher in the kitchen is fully charged. The garage is kept locked and used for storage. LPA observed the cleaning supplies are kept locked in the garage. LPA observed all resident rooms were clean and had the required furnishings. The hot water measured 105.0 degrees Fahrenheit in all 3 bathrooms. All 3 bathrooms are clean and operational. LPA observed clean linens in the hall closet. The backyard has a covered patio with a seating area for residents. No bodies of water observed in the backyard. The exit gate is operational and is latched. No obstacles or hazards observed in the backyard. No obstacles or hazards observed in the facility. LPA inspected the first aid kit. The first aid kit does not have a current first aid manual but has all the other required elements. LPA reviewed 2 out of 2 staff files. Both staff have current CPR/First Aid training. Both staff only have 3 hours of current training. LPA reviewed 5 out of 5 resident files. LPA observed R1 did not have a signed physician's report (LIC 602A) and R3 who has been diagnosed with Dementia did not have a current physician's report. LPA observed all medications are kept locked in the hall closet. LPA reviewed 5 out of 5 resident medications. No discrepancies observed. LPA interviewed 2 staff. Residents declined to be interviewed. LPA consulted with Administrator concerning reporting requirements and facility record requirements. Violations are being cited per Title 22 division 6 of the California Code of regulations. An exit interview was conducted and a copy of the report along with appeal rights was provided.