Routine inspection·March 12, 2025

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct the required annual inspection and was greeted and granted entry by staff. LPA informed Administrator (AD) Angelina Teves the purpose of the inspection. The facility currently has six residents. LPA observed residents lounging in the living room watching tv and relaxing in their bedrooms. The facility is a two-story home with four resident bedrooms, three staff bedrooms, one staff bathroom, two resident bathrooms, kitchen, dining room, living room, backyard, swimming pool and attached 2-car garage. Facility appears clean, safe and sanitary. All resident bedrooms had the required component and furnishings. Facility has extra clean linens for resident use in the hall closet. Restrooms are stocked with soap, toilet paper, and paper towels. Hot water in the bathrooms measured between116.7-120.2 degrees Fahrenheit in the resident bathroom located in the hall and in resident room four. LPA observed the kitchen to be clean. LPA observed that the sharps are locked in a drawer located in the kitchen and inaccessible to residents in care. LPA observed fire extinguishers in the kitchen and by the front door to be charged and have a service date of March 4, 2025. LPA observed the centrally stored medications were locked in a cabinet located in the garage and is inaccessible to residents in care. LPA observed the facility has emergency food and water supply. LPA observed that the toxins and chemicals are locked in a cabinet in the garage and under the kitchen sink making them inaccessible to residents in care. The backyard has a shaded seating area for client use and is free of debris and obstructions. The backyard has an in ground swimming pool that is fully enclosed by a wrought iron gate along with the perimeter fencing. The swimming pool gate swings away from the pool with a lock at the top. The fence is five feet five inches in height and the vertical bars are five and a half inches apart. There is one resident bathroom window that leads to the pool that does not have an alarm. Carbon monoxide detectors were found to not be operational. Continued on LIC 809-C LPA reviewed two staff files and no discrepancies were observed. All present staff were fingerprinted and associated to the facility. LPA reviewed six resident files and no discrepancies were observed. LPA observed the last fire drill conducted was on December 28, 2024. LPA reviewed six of six client medications of which one did not have a PRN prescription. Based on today's observations citations were noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Angelina Teves and a copy of this report was provided along with LIC 858, LIC 859,LIC 809-D and appeal rights .