Routine inspection·June 14, 2024

On June 14, 2024, Licensing Program Analyst (LPA), Venus Mixson conducted an unannounced Required One Year visit , and met with the Paolo Angeles, the Administrator. The Facility file review was conducted in the Regional Office and additional forms were reviewed on site. The facility is licensed for six Elderly Adults, type (740), and is currently serving five. LPA Mixson toured the facility along, with the Administrator following is a summary. Physical Plant: The facility is a single-story home located at 24077 Grafton Ave, Murrieta, CA. 92562, and has five resident bedrooms, two bathrooms, a family room, dining area, kitchen, and an attached two-car garage. The facility land line phone number is (951) 239-0716 and it is operable. Bedrooms : The bedrooms were furnished with the required items per Regulation. There were observable smoke alarm/carbon monoxide detectors, in accordance with California, Code of Regulation, Title 22. Facilit y Bathrooms : bathrooms have a working toilet, wash basin, and were equipped with a grab bar and non-slips mats in the shower. The water temperatures tested within regulations. The facility has an sufficient supply of extra liens available to residents in care. Kitchen : LPA Mixson observed a sufficient supply of dishes, glasses, utensils, pots, and pans. Sample menu is posted in kitchen on the side of the refrigerator. All kitchen appliance, along with the stove is operational. Refrigerator and freezer were in working condition. Centrally Stored Medications: Medications were locked and inaccessible to the residents in care, and there was a sufficient monthly supply for the residents. LPA Mixson observed a first aid kit with required components, and it was locked and inaccessible to residents in care. CONTINUE ON NEXT PAGE Living/Family room : The family room had a working television. "If You See Something Say Something" poster, Long- Term Care Ombudsman poster, emergency phone numbers, and facility sketch were posted in the kitchen/family room area. Hallways were free of obstructions and had night lights Laundry Room: A fire extinguisher was charged and mounted on the wall in the laundry room, along with the washer and dryer and they are operable. Outside Yard Ar ea: Covered patio seating is available for the residents. A brick wall secured the entire backyard. All outdoor pathways were free of obstructions and debris currently. There were no bodies of water observed on the property. There were no firearms or ammunition observed at the facility and the Administrator stated there are no firearms or ammunition stored on the premises. Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharps are locked. Care & Supervision : Facility has sufficient staff, two staff on site at the time of this visit and the Administrator arrived shortly after. Records Review: LPA Mixson reviewed resident and staff files, conducted staff and resident interviews, and reviewed previous Community Care Licensing forms. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit. An exit interview was conducted, and a copy of this report was discussed and provided to the Administrator, Paolo Angeles.