Routine inspection·May 8, 2024

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the Required Annual Inspection. LPA was greeted and granted entry by facility caregiving staff after introducing himself and stating the purpose of the visit. Administrator Shahin Mokhtazad was notified by telephone and arrived later to assist. During the inspection, LPA and facility staff conducted a tour of the physical plant and observed the following: The facility is a one-story home with six private resident bedrooms, one shared bathroom and one room dedicated to staff in addition to the common living areas. All resident bedrooms had the required furnishings. LPA observed all beds had linens and blankets and an adequate additional supply is present. There are orders on file for the postural supports in use. The backyard has a shaded area and the routes of egress are free of clutter and obstructions. There are currently six residents in care at the facility, two of which are receiving hospice care, including one bedridden resident which is authorized by the fire clearance on file. Residents are observed to be clean and appear well taken care of. Bathrooms faucets and toilets were operational. Water temperature was verified to be within acceptable range. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required. Combined smoke and carbon monoxide detectors tested operational. Fire extinguishers present are observed to be fully charged with up-to-date maintenance. Medication, sharp items and cleaning supplies were confirmed to be inaccessible throughout the physical plant. The medication central storage was also observed to be secure and reviewed for accuracy during the visit. LPA reviewed six resident files and three staff files. The two staff members on duty were interviewed along with the six residents. Based on the observations made during today’s inspection, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. Three Technical Violation Advisory Notes were also provided to the licensee. An exit interview was conducted, and a copy of this report was left at the facility.