Routine inspection·May 30, 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 at 1:15pm and met with Lorna Smith, Administrator. The facility is a single-story, five bedroom, two bathroom home with an approved fire clearance of six non-ambulatory residents; of which six may be on hospice. The facility currently has a census of five residents receiving care and four are on hospice. 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 107.0 and 113.7 degrees Fahrenheit and all smoke detectors were operational . The fire extinguisher is charged and was serviced on March 30 2021. The facility’s last fire drill was conducted on March 22, 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 . There were extra canned goods and non-perishable items in the garage. Hazardous chemicals were locked, both under the sink and the garage, and knives and sharps were secured in a locked drawer. All appliances were in working order and a washer and dryer were in the garage. (Continued on LIC 809-C) (Continued from LIC 809) LPA toured the outside of the facility and observed a self-latching exterior gate and shaded seating areas for residents to enjoy. There is ample space outdoors for activities and gatherings. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. Facility also has a First Aid Manual. LPA reviewed two of two staff training and fingerprint record s and conducted a complete review of resident records. 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 August 16, 2026. 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 Lorna Smith, Administrator and a copy of the report and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.