Routine inspection (multi-day)·May 1, 2025

Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to conclude the annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. Resident record review began. Three (3) records were reviewed. LPA reviewed for admission agreement, medical assessment and TB test results, consent forms, identification and emergency information, appraisal needs and service plans, centrally stored medication/destruction records, safeguard for personal property/valuables is missing from files, and personal rights notification. This facility is meeting documentation requirements. LPA began review of employee records. Two (2) records were reviewed. LPA reviewed employee record for first aid certification, fingerprint clearance, personnel/job application, health screening missing and TB test results, criminal record statement, employee rights, training verification, and current administrator certification. CPR and requirements have been met. The facility employs enough staff to maintain cleanliness and meet the needs of the clients in care. Administrator certification is present and current. Physical Plant and Safety of Environment/Operational Requirements- LPA toured the facility inside and outside. The home is maintained at a comfortable temperature for the clients. Lighting is not sufficient for safety and comfort. Water temperature measured 125 degrees F and warning labels are posted. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals in the garage. All outdoor and indoor passageways are free of obstruction. A locked area is provided for medications and sharp objects. (Continued on next page) (Continued from Page 1) LPA verified there is a telephone working at this location. Food Service- Food supply meets the requirement of one week supply of nonperishable and 2 day supply of perishables food on hand. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. The facility has not exceeded its capacity limitation and the structure remains unchanged according to the approved floor plan. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers are tested or replaced annually and were last done so on 4/17/2025. The facility is conducting emergency disaster drills. The last disaster drill was conducted on 03/18/2025. Based on the information received during this visit today, there are no deficiencies that is being cited per Title 22, Division 6 of The California Code of Regulations. This report was reviewed with and a copy provided to the Alexandria Contreras at the time of the exit interview.