Routine inspection·May 11, 2022

Licensing Program Analyst (LPA) Anthony Tuck arrived to conduct an unannounced annual/random inspection on 0511/2022. LPA met with Yacub Lucas and explained the purpose of the visit. Yacub Lucas is the Administrator and holds certificate #6051257740 and expires on 02/20/2023 This facility is a single story building licensed to serve six (6) non-ambulatory residents. LPA toured the physical plant including but not limited to two resident bedrooms, two resident bathrooms, garage and backyard area. LPA observed the facility to be free of odor, clean and in good repair. LPA observed sufficient furniture and lighting throughout the facility. There are no bodies of water present. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Hot water temperature was measured at (115) degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers and smoke and carbon monoxide detectors are in compliance with fire safety. Fire extinguisher last serviced 09/08/2021 Thermostat observed at (73) degrees Fahrenheit. LPA observed centrally stored medications, toxins and sharp knives kept locked and inaccessible to clients. LPA reviewed resident medication logs. LPA reviewed Fingerprint clearance and associations to the facility. First aid kit was checked and is complete. The following forms need updating and were submitted to CCLD on 05/11/2022: LIC 610E, LIC 500, LIC 9020, liability insurance certificate Per California Code of Regulations, Title 22 Division 6, Chapter 8, no deficiencies were found during today's visit. Exit interview held with Yacub Lucas and a copy of report given at the conclusion of the visit.