Routine inspection·January 28, 2025

Licensing Program Analyst (LPA), Armando Perez made an unannounced visit to the facility for the purpose of conducting a required annual inspection. For todays visit, LPA was assisted by ASL interpreter Kathy Goodson The LPA was granted entry by staff to conduct the inspection. The administrator Danny Barrett communicated with LPA by text message informing LPA that he is ill with Covid-19 and authorized caregiver Barbie Smith-Enos to assist with the visit. The LPA informed the staff of the purpose for the visit. The inspection included the following: LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility consists of six (6) resident bedrooms, four (4) bathrooms, a kitchen and dinning area, a living room area, a garage and laundry room, and a patio and yard with sufficient seating and space for activities. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid mats present. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured within regulation. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. There are no firearms at this home and no bodies of water observed. LPA began review of client records. Five (5) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be incomplete.A deficiency was issued. LPA could not review employee records- Seven (7) records were unavailable at the time of the visit. LPA will need to schedule an annual continuation and review for employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification. A deficiency was cited. LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. Medications are centrally stored. There is a locked cabinet is allocated for medication storage in the kitchen. Centrally stored medication and destruction logs are maintained. Medications reviewed appear to have been dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. Smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers was last serviced on, 05/02/2024. Fire drills are conducted quarterly. Based on the information received during this visit today in the areas reviewed, there are deficiencies that are being cited per Title 22, Division 6 of The California Code of Regulations. A plan of correction was provided and a continuation annual visit will be needed to clear two deficiencies. This LIC 809 report was reviewed with the facility representative Barbie Smith and a copy was provided.