Routine inspection·September 19, 2024

On 9/19/2024, Licensing Program Analysts (LPAs) Yang and Mikkelson arrived at the facility to conduct a required annual inspection utilizing the full CARE tool. LPAs met with caregiver, Capresa Nichol, who then contacted Licensee, who arrived to the facility shortly afterwards. Today's visit, facility census is six resident with three on hospice services. Facility is licensed for six non-ambulatory, hospice waiver of four. During today's inspection, LPAs observed four residents in their bedrooms, and two residents in the common areas. Areas toured with Licensee included but not limited to: five resident bedrooms, one bathroom, garage, kitchen and the common areas. LPAs observed facility to have sharps, toxins and medications to be locked and secured. No immediate health, safety and personal rights violation observed. Medication audit was conducted for three residents in care. LPAs conducted file review of five resident records and five personnel records. LPAs observed required training hours for S1, S2 and S3 to be incomplete. LPAs provided facility a copy of Health and Safety Code §1569.625 Staff training; legislative findings;contents LPAs reviewed facility Emergency Disaster Plan and Fire Earthquake Drill records. Liability insurance was confirmed to be active. As a result of today's inspection, deficiencies observed. Please see LIC 809-D. Exit interview and a copy of the report and appeal rights will be provided to Licensee by close of business.