Routine inspection·August 5, 2025

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 at 1pm. During today’s visit, LPA met with Lisa Roche, Licensee (LE). The facility is a six bedroom, single story home with an approved fire clearance of six ambulatory residents of which six may be non-ambulatory and an approved hospice waiver for six. The facility currently has a census of five residents in care. Two of the six rooms are occupied by staff members who reside in the facility. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two resident bathrooms, and testing auditory devices on all exits . The hot water temperature measured between 108.6 and 110.3 degrees Fahrenheit and all smoke and carbon monoxide detectors were operational . The fire extinguisher is charged and was serviced on June 20, 2025. The facility’s last fire drill was conducted on August 2, 2025. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand . Sharps and hazardous chemicals are secured. Kitchen appliances were in working order. The refrigerator had a variety of fruits and vegetables and the freezer was full since it was grocery day. There is an additional freezer in the garage; along with emergency supplies of water and food. The washer and dryer were also in the garage and operational. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. There are several First Aid Kits on the premises with the required elements. (Continued on LIC 809-C) (Continued from LIC 809) LPA toured the exterior of the facility and observed shaded seating areas, a garden area and exit doors are self-latching. There are no hazards or obstructions in exterior pathways and there is ample space for outdoor activities. LPA reviewed three of three staff training and fingerprint records and conducted a complete review of resident records. Residents had updated Medical Assessments and bed rail orders were on file. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on July 15, 2026. LPA confirmed the facility contact information is correct, that the preferred language is English and license fees are current with Lisa Roche. Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Lisa Roche, Administrator and Licensee and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.