Routine inspection·August 14, 2024

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted by staff and granted entry. LPA informed staff of the reason for the visit. Staff called the Administrator and informed them of the visit. LPA and staff toured the facility. Ruby Cruz arrived during the visit and LPA explained the reason for the visit. The facility has 4 resident bedrooms, 2 bathrooms, living room, dining room, kitchen and an attached 2 car garage. LPA observed the See Something Say Something poster (PUB 475) posed next to the front door. LPA and staff toured the garage. LPA observed the garage has two new rooms. Staff reported that staff live in the 2 rooms. LPA observed each room has a locking door and has a bed and nightstand. Each room has a smoke detector. The main garage door can be opened and closed. There is also an exit door leading to the backyard. The washer and dryer are in the garage. The 2 rooms in the garage are not on the original facility sketch that was submitted with application to be licensed. LPA observed the resident rooms were clean and organized. Both bathrooms are clean and organized. Hot water measured 129.3 degrees Fahrenheit in bathroom 1 and 129.5 degrees Fahrenheit in bathroom 2. LPA observed the kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. The 4 burner gas stove lights unassisted. The fire extinguisher in the kitchen is fully charged. LPA observed the medication is kept locked in the hall closet. LPA observed the living room has 2 couches, a table and a large screen TV. There is no fireplace in the facility. LPA and staff toured the backyard. The exit gate is operational and self closing. No bodies of water observed. There are two tables with umbrellas and chairs to provided shaded seating on the deck. No obstacles or hazards observed in the backyard. The smoke detectors/carbon monoxide detectors tested operational. LPA reviewed 5 resident medications. LPA observed that 2 tablets and 1 capsule for Resident 1 (R1) are being stored outside of their original container and kept in a plastic pour cup with a lid. LPA reviewed 5 resident records, no discrepancies observed. LPA reviewed 3 staff files, no discrepancies observed. All staff files reviewed had the required training. LPA inspected the first aid kit. The first aid kit had all the required elements. The last fire drill took place on August 4, 2024. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report provided along with appeal rights.