Routine inspection·March 29, 2022

Licensing Program Analysts (LPAs) Joseph Alejandre and Jessica Cho conducted an unannounced annual visit to the Silver Lining Residential Care. The purpose of the visit was to conduct the required annual inspection (mitigation). LPAs were greeted and granted entry and met with Administrator Lacy Faddoul and Administrator's Assistant, Iulia Perez. The Administrator's Certificate expires on 5/9/2022. Facility is licensed for 6 ambulatory, 8 non-ambulatory, and approved waiver for 2 hospice residents. The facility consists of a two story building with 8 bedrooms and 3 bathrooms with a living room, dining room, and a kitchen on the first floor. The second floor is inaccessible and locked to the residents and has 1 bedroom and a bathroom with a bonus room, office, kitchenette, and an attic. LPAs toured the facility with the administrator. LPAs observed all residents' rooms met all regulatory compliance, except for the following: the air conditioning/heating vent in the ceiling in Bedroom #1 is not properly secured to the ceiling and hanging loose. At this time, the a/c vent is secured by tape until repair is permanent. Bed rails in Bedrooms #3 & #5 had chipped paint. The door trim in Bath #1 had water damage. It needs to be repaired or replaced. Nightstand in Bedroom #2 had chipped paint on the bottom shelf. Smoke/carbon monoxide detectors tested operational. Bathrooms were clean and operational. Hot water in Bathroom 3 measured 129 degrees Fahrenheit, Bathroom 2 measured 126 degrees Fahrenheit, Bathroom 1 measured 124 degrees Fahrenheit. LPAs observed in the entrance way the table/shelf mounted on the wall has come loose and is not securely attached to the wall. The kitchen was clean and organized. LPAs observed a 2 day perishable and a 7 day non-perishable of foods. The stove was lighted unassisted. Knives were locked in the tool box inside the drawer. Medications are locked in a drawer in the kitchen island. LPAs observed the front yard has a seating area. The front exit gate is kept secured. Around the side of the house, there is a locked storage shed that contains wheelchairs, ladder, and other supplies. The backyard has a covered patio with a seating area. LPAs and Administrator toured the detached 2 car garage. The garage is kept locked and contains laundry supplies and washers and dryers. LPAs toured the second floor which is off limits and inaccessible to residents. LPAs did not observe hazards or violations in the second floor/staff quarters. Facility's mitigation plan has been approved. LPAs consulted with the Administrator continuing COVID-19 mitigation procedures and reporting requirements. Violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report along with citations and Appeal Rights (LIC 9058 01/16) was provided.