Routine inspection·August 21, 2025

On 08/21/2025, at 09:15 AM, Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Singh met with a staff and was granted entry to the facility. At the time of the visit there were two (2) staff present, and five (5) residents present. Facility Administrator Stephanie Barron was contacted and informed of the visit, administrator Stephanie Barron arrived during the visit. LPA Singh explained the purpose of the visit to Administrator Stephanie Barron. The facility is a four (4) bedroom, two and a half (2 1/2) bathroom home with a attached garage. There is a kitchen/dining area, living room, activity room and laundry area. The facility is the Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of four (4) residents of which three (3) can be non-ambulatory and one (1) bedridden. The current census is two (2) residents. LPA was accompanied by administrator Stephanie Barron to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant : The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). LPA observed no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, lamps and storage space. LPA observed sufficient lightning. Moreover, LPA observed that bathrooms were clean, and appliances were operating appropriately. LPA observed grab bars and non-skid mat in the resident bathrooms. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathroom to be at 106 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. ***Continuation in LIC809C *** Posters such as personal rights, the CCLD complaint poster, Ombudsman Poster, Labor Laws and the Emergency Disaster plan were posted in a common area. LPA observed the knives locked and inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a cabinet in the staff office with the residents’ medications locked in the medication cabinet. Food Service : Seven (7) days non-perishable and three (3) days perishable food supply observed at the facility. Care & Supervision : The facility has certified administrators. LPA Singh observe sufficient number of staff to provide care and supervision to the residents in care. Record Review : LPA reviewed three (3) resident files for admission agreements, updated physician reports, and pre-placement appraisals. The files reviewed were complete. LPA reviewed three (3) personnel files- one(1) administrator and two(2) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings with tuberculosis (TB) test results. Fire drill conducted on 05/28/2025 and earthquake drill was conducted on 06/20/2025 at the facility. LPA Singh also reviewed medications administration record (MAR), was complete, no issues. An exit interview was conducted where this report LIC809, LIC809C were discussed and provided to Facility Administrator Stephanie Barron and operations manager-Jessica Paz.