Routine inspection·May 1, 2024

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit. LPA was greeted and granted entry by Caregiver Andrew Hardin, the Administrator Ardie Crenshaw arrived shortly after. At the time of the visit there was (3) staff and (6) residents present. All staff were observed to have obtained criminal record clearance and were associated to the facility. LPA conducted a tour of the interior and exterior of the facility. LPA observed for the facility to be clean, clutter and odor free. The facility was observed to be at a comfortable temperature, the resident bedrooms, had the required furniture, bed, lighting, chest of drawers and chair. The smoke and carbon monoxide detectors are intertwined and were tested and observed to be operable. There is one (1) fire extinguisher hanging on the wall inside the kitchen. The water temperature was tested and was found to be within regulatory limits measuring between 115-120 degrees F. There are no pools or bodies of water observed on the premises, or no known guns or ammunition. The medications are stored in the garage in a locked medication cart and were observed to be inaccessible to residents in care. The medications were observed to be given as they were prescribed. The chemicals and sharp objects (knives) are stored in a locked closet in the hallway next to the laundry room. Records review: Resident files were reviewed and were found to have the required documentation such as medical assessments, appraisal and admissions agreements. 3 of 4 Staff files reviewed were observed to not have the required training such as valid Cardio Pulmonary Resuscitation (CPR). A deficiency will be issued. The facility food supply was observed to meet the requirements as there was a 2 day supply of perishable and a 7 day supply of nonperishable food items. LPA observed for there to be 3 cans of expired food and were discarded during the visit there no citation will be issued. The facility will submit the following to the regional office for follow up or filing by 5pm, Monday 5/6/24: -LIC808-Mitigation Plan -Addendum to plan of operation if the facility is going to use video surveillance, and an update copy of facility sketch indicating where the cameras are located in the facility -Change of Administrator request -A copy of liability insurance Based on today's visit a citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report, 809D, appeal rights, and LIC9098 Proof of Corrections form was provided to Ardie Crenshaw.