Routine inspection·April 19, 2023

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of conducting an Annual Inspection. LPA met with Staff #1 (S1) Miriam Esquivel and discussed the purpose of the inspection. Administrator (AD) Lacy Faddoul arrived during the inspection. At about 8:40AM, LPA and AD conducted a tour of the inside and outside of the facility, common areas, resident rooms, kitchen, and garage and observed the following: Structure. This is a two-story home. Facility is a 9-bedroom, 4-bathroom, two-story house with an attached garage that is being used for storage. There is a back yard with a patio cover for the residents. LPA observed there were 4 staff and 10 residents present. Resident Bedrooms. The 6 resident bedrooms are spacious and will easily accommodate the residents’ furnishings. Lamps, chairs, linens, and storage for each resident bedroom inspected. Staff Bedrooms. The 3 staff bedrooms are spacious and will easily accommodate the staff’s furnishings. Bathrooms. Bathrooms were clean, faucets and toilets were operational. Water temperature: tested between 106.5 and 109.5 F degrees. LPA inspected all rooms in the facility. Linens & Hygiene Supplies. New linens and fully stocked linen closets were observed. Emergency Phone Numbers, Exit Plan & Menu: Reviewed. Food Service. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food is available as required by regulations. Carbon Monoxide, Smoke Detectors, Fire Extinguisher were observed and tested, including the wired smoke detectors/carbon monoxide detectors. Appliances. Stove burners, microwave, washer, and dryer inspected. Knives: observed locked in the kitchen cabinet. Toxins: observed locked in the closet and in the garage. Medication cabinet is locked. First-Aid Kit and Activity Supplies: observed and available. At about 11:45AM, LPA reviewed 5 resident files and 5 staff files. Facility does not handle resident money. At about 12:10PM, LPA inspected the medications for 5 residents. At about 12:20PM, LPA interviewed 3 staff and 5 clients. LPA requested and obtained copies of the resident roster, staff roster, proof of insurance, administrator certificate, and resident files. At about 11:15AM, LPA and AD observed the following: Staff #2 (S2) is not background cleared. During the inspection, AD had S2 removed from the facility and LPA confirmed. AD stated that S2 will not be allowed back to the facility until they are background cleared. Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809D. Immediate civil penalties are being assessed. See LIC421BG. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.