Routine inspection·June 5, 2024

On June 05, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with Joseph Sang, Lead Caregiver. The facility file review was conducted in the Regional Office and additional forms were reviewed and requested on site. The facility is licensed for six Elderly Adults (740), but is currently operating at five. LPA Mixson toured the facility along with the Lead Caregiver and inspected the facility inside and outside, and there was no debris or obstructions to the indoor or outdoor passageways at the time of this visit. The facility is a single-story home located at 26042 Westridge Avenue Menifee, CA. 92586. Physical Plant: The facility phone number is (951) 301-0204. The LPA observed the residents’ bedrooms. Each bedroom was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, appliances were operating appropriately currently at the time of this visit, and exit signs were observed. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something" the "Personal Rights" and the Ombudsman postings. The cleaning supplies and sharp items were locked and inaccessible to the residents in care at the time of this visit. A designated storage space for the residents and staff files was observed, and it was locked and inaccessible to residents in care currently. The overall facility is clean, the furniture is in good condition. The facility cooling system and other appliances were operable currently. There were safety lights for night throughout the facility. Medications : The medications were locked and inaccessible to residents in care. There is a sufficient supply of medication for each resident currently. 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 staff were engaging the residents with afternoon activity. Records Review: LPA Mixson reviewed resident files, along with staff files, conducted staff and resident interviews. Previous Community Care Licensing forms were reviewed. 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 given to the Lead Caregiver, Joseph Sang.