Routine inspection·July 2, 2024

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator Irina Maroussenko and explained the reason for the visit. The facility is a six bedrooms (1 is for staff) house with 2 bathrooms, kitchen, dining room, living room and an attached two car garage. LPA and the Administrator toured the facility. LPA observed the PUB 475 poster posted in the entry way of the facility. The garage is kept locked and used for storage. Smoke detectors and the carbon dioxide detector tested operational. The fire extinguisher mounted in the dining room is fully charged. LPA observed the kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed knives are kept locked in a box on the kitchen counter. LPA observed the fireplace in the living room is screened. LPA and the Administrator toured the resident bedrooms. All resident bedrooms were clean and organized. All the resident bedrooms had the required furniture and bed linens. LPA observed both bathrooms are clean and operational. Hot water measured 106.1 degrees Fahrenheit in both bathrooms. LPA observed medication is kept locked in a medication cart kept in the staff bedroom. LPA and the Administrator toured the backyard. No bodies of water observed. There is a covered patio with chairs for residents to sit outside. The exit gate is operational. No obstacles or hazards observed in the backyard. LPA reviewed 5 resident files and medications. No discrepancies observed. LPA reviewed 2 staff files, no discrepancies observed. Both staff members had the required 20 hours of annual training. Both staff members had current CPR training. LPA observed the Administrator did not have a current Administrator's certificate. LPA observed the facility has WiFi but does not have a device for resident use. LPA interviewed staff and residents. No obstacles or hazards observed inside the facility. LPA observed the first aid kit had all the required elements. Deficiencies are being cited per title 22 Division 6 of the California Code of Regulations on the attached LIC 809D. An exit interview was conducted with the Administrator and a copy of the report provided along with appeal rights.