Routine inspection·January 26, 2024

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to conduct a require annual inspection utilizing the care tool. LPA met with house manager, Kelly Conley, and explained the purpose of the visit. Today's census is six residents with two residents on hospice services, compliance to facility's licensure. LPA and House Manager conducted a tour of the facility. Areas toured included but limited to: six private resident rooms, five bathrooms, kitchen and common areas. LPA observed four residents present in the common areas and two residents in their bedrooms. LPA observed the facility to be 76* at a comfortable temperature for residents in care. LPA observed the facility to have 2+ days of perishable and 7+ days on nonperishable foods. LPA observed facility to be free from safety hazards. LPA and House Manager discussed facility submitting R1's exception request. LPA provided a copy of California Code Regulation 87616 Exceptions for Health Conditions. Additionally, LPA and House Manager discussed annual fees as it is not up to date. LPA conducted a file review for personnel and residents in care. Care tool completed and no deficiencies cited. At this time, LPA is requesting a copy of LIC 500 and facility liability insurance. Exit interview and a copy of the report was provided.