Routine inspection·April 10, 2025

Licensing Program Analyst (LPA) Javina George made an announced to the facility to conduct a 1 year required visit. LPA was greeted and granted entry and with Regina Abdelghani, Lead Caregiver. The home continues to not have any residents in care, and it has been this way since 2016. Per Regina the plan is to meet with the Administrator once she returns back to the Country, to see what the plan will be moving forward. LPA verified contact information for the facility and will update the facility phone number as needed. LPA conducted a tour of the interior and exterior areas of the facility. The facility was observed to be be clean, and clutter free with all exits being clear from any obstructions. The sharps, chemicals and other hazardous items were observed to be locked. There are no pools of bodies of water on the premises, as well as no known guns or ammunition. The facility was observed to have (1) smoke detector with a battery inside that was operable. LPA did not observe any carbon monoxide detectors, deficiency cited, $500 immediate civil penalties are being assessed. The facility has (2) fire extinguishers that are fully charged and last serviced on 05/10/24. The hot water temperature was tested and measured to be 113.8 degrees Fahrenheit. A facility file review was conducted on 4/2/25, and the facility annual fees were observed to not have been paid. During today's visit LPA followed up and was informed by Regina that the payment was mailed off on Tuesday 04/08/25. LPA reviewed staff files for staff present and observed for staff to possess valid CPR certification, and to have the other required training/CEUs that were completed through approved vendors. The facility was observed to be insufficient food supply, however there are no residents in care, LPA discussed the requirement of a 2 day supply of perishable and a 7 day supply of non perishable food items should be purchased prior to accepting any residents in the home. LPA observed for bedroom #2 and bedroom #3 to not have beds inside the room, however there was the other required furniture, such as lamp, and chest of drawers. Per Regina the new beds can be purchased or the resident can bring their own bed it depends on what they prefer. The facility was observed to not have the required postings: such as the PUB475, personal rights, and Long Term Care Ombudsman, facility sketch. The emergency disaster plan is reported locked inside the staff office and was unavailable for review during today's visit. LPA discussed that the facility is to submit proof of the required postings at the facility no later than 5pm Monday 04/24/25. There was no proof of valid aliability insurance, deficiency cited. Based on today's inspection a citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted where a copy of this report, 809D, LIC421IM appeal rights, LIC9098-Proof of Corrections form, glossary and LIC811-Confidential names list was reviewed and provided to Regina Abdelghani, Lead Caregiver.