Routine inspection·February 15, 2024

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced required annual inspection visit. LPA met with administrator and stated the purpose of today’s visit. Administrator certificate expires 07/07/2024. LPA and administrator toured and inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. The facility is licensed for four ambulatory residents and two non-ambulatory residents. There are currently 3 residents who reside at this facility. Common touch surfaces are cleaned after each use. LPA measured the hot water temperature in resident's bathroom at 109.4 degrees Fahrenheit which is within the required range of 105 to 120 degrees. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Resident rooms were sanitary and had the required furniture and furnishings. The facility common areas were clean and furnished. Smoke and carbon detectors were in good repair. Fire extinguisher was last inspected 3/22/2023. The last fire drill was on . Facility has an emergency food and water kit. LPA reviewed three resident files and four staff files, including criminal record clearances. A review of staff records indicates that all facility staff or other who require caregiver background checks are Fingerprint cleared and associated to the facility. LPA verified staff training for staff file reviews. Staff #1 and #4 did not have current first aid certificates. LPA received the following updated documents for community care licensing on today's date: LIC 500 Personnel Report, Copy of Administrator's Certificate, and Copy of Liability Insurance. Per the California Code of Regulations, Title 22, Division 6, Chapter 6, no deficiencies cited during this visit. Exit interview was held with administrator. A report and LIC 811(Confidential Names) was left at facility.