Routine inspection·April 11, 2025

Licensing Program Analyst (LPA) William Vanegas made an unannounced inspection for the purposes of conducting an annual inspection. Upon arrival LPA Vanegas was greeted and granted entry to the facility by Care Giver (CG) Gessica Tudurachi and explained the nature of the inspection. LPA Vanegas set up equipment and began a tour of the facility and observed the following. This is a one storied home with seven bedrooms six of which are resident rooms, and one of which is a staff bedroom. There are four bathrooms, two of which are private bathrooms, one of which is a shared bathroom, and one of which is a shared staff and visitor bathroom. LPA Vanegas observed kitchen area to be clean and free of debris. LPA Vanegas observed there to be a microwave, gas stove, dishwasher, refrigerator, washer, and dryer all in good repair and operational. LPA Vanegas observed a two day supply of perishable food, and a seven day supply of non-perishable food along with a sufficient amount of emergency water for residents in care, and staff on duty. LPA Vanegas observed resident bathrooms to be clean and free of debris or mildew. LPA Vanegas observed bathrooms to have required furnishings such as shower chair, slip resistant floor matts, and grab bars. Water faucets and toilets tested operational and water temperature tested between 116.5 and 118.2 degrees. LPA Vanegas toured the outside of the facility and observed a large backyard big enough to participate in outdoor activities upon resident request. There is a shaded sitting area available for resident use. LPA Vanegas observed no obstructions a long emergency exit routes, and side doors are self latching with no locks on them. CONTINUED ON LIC809C LPA Vanegas observed all client rooms to consist of all required furnishings such as a bed, clean linens in good repair; meaning no strains or tears, a chest drawer, enough storage space for personal belongings, and a chair available at client request. LPA Vanegas observed all required postings at entry way of the facility however the PUB475 sign was not the correct dimensions. A technical Violation was issued and Administrator ordered a PUB475 sign with the correct dimensions. LPA Vanegas observed all fire extinguishers to be fully charged and up to date. LPA Vanegas observed all smoke and carbon monoxide detectors to be in good repair and operational. LPA Vanegas observed first aid kit to have all required items such as a thermometer, tweezers, scissors, bandages, adhesive tape, and a first aid manual. LPA Vanegas observed all toxins, sharps, and medications to be locked away and inaccessible to residents in care. LPA Vanegas reviewed medications with Administrator (AD) Daniel Datcu and observed all medications to be documented correctly and per LPA Vanegas review all medications are being administered per physicians orders. LPA Vanegas reviewed three staff files, and six resident files, all files (staff and resident) contained all required documents and staff training is up to date and documented accordingly. Based on observations made during today's inspection no deficiencies will be issued per tittle 22 chapter 8 division 6 of the California Code of Regulations. An exit interview was conducted with AD Daniel Datcu and a copy of this report was provided to the facility.