Routine inspection·November 25, 2024

Licensing Program Analyst (LPA) Samer Haddadin made an unannounced required annual inspection at this facility. LPA met with Administrator Mai Ngoc and stated the purpose of this visit. The facility is a single level home and licensed for six non-ambulatory of which two may be bedridden with a hospice waiver for six. This facility is a Residential Care Facility for the Elderly/Dementia. The facility had 6 bedrooms in which 4 are used for resident and 2 for staff members. LPA toured the interior and exterior portions of the facility. Resident rooms were provided with furniture, chair, clean linen, adequate storage space, and kept free of tripping hazards. Hard wired smoke detectors, carbon monoxide and audible exit alarms were tested to be operational. LPA did not observe the required PUB 475 to be in the right size. Also, LPA asked AD for liability insurance, AD stated he does not have one currently on his person will provide it. LPA did not observe any emergency drill documentation. All files of staff and clients contained all required documentation. Bathrooms were observed to be in good repair and provided with grab bars and hot water was measured at 126.6 degrees Fahrenheit. Facility did not met the minimum two-day supply of perishable and seven-day supply of non-perishable food stock requirements. For the exterior portion, facility did not have a shaded area and nor chairs; grounds were unclear of tripping hazards and no space for activities. Facility has a 2-car garage and is kept locked and used for storage; the garage also had an operational washer and dryer. Based on this inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. . ***THIS IS AN AMENDED REPORT***