Routine inspection·August 18, 2023

Licensing Program Analyst (LPA) Jacqueline Shaw Ross conducted an required 1 year visit. LPA was granted entrance by Administrator, Favie Jimeno. The facility is a four (4) bedroom two (2) bathroom one story home. LPA conducted staff and resident interviews. During the tour the following was observed: Required accommodations in resident bedrooms and bathrooms. Fixtures and furniture for an operational facility are present and in good repair. Handrails are securely fastened, grounds are free from hazards. All bedrooms are adequately furnished and in good repair. All passageways were free of obstructions, charged fire extinguishers and the fire alarm system was operable, medications are kept centralized and locked, hazardous items are kept inaccessible to dementia residents. Hot water was tested at 120 degrees. Kitchen/Food Service: LPA observed entire kitchen, food is stored properly and dishes are clean. There is a sufficient supply of perishable and non-perishable foods. Area was observed to be functional and clean. Care & Supervision : Facility has sufficient care staff. Administration: Emergency exiting plans, telephone numbers and Ombudsman information are posted. Fire drills are conducted quarterly. Record Review and Resident/Staff Files: Current staff has Criminal Clearance and CPR/First Aid certification as well current training. Resident records were reviewed and contained required documents. Medication Review: LPA reviewed medication and medication log. Residents' medications are being dispensed according to physician's orders. No cited deficiencies per Title 22, Division 6 of the California Code of Regulations cited at this time. Exit interview conducted and a copy provided to Administrator Favie R. Jimeno.