Routine inspection·April 9, 2024

Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to conduct an annual required inspection. LPA met with facility staff Jennifer L., and explained the purpose of the visit. Facility staff contacted the Administrator of LPAs arrival and arrived to the facility later during the visit. LPA Valerio toured the facility to ensure compliance with Title 22 regulations. LPA Valerio observed 5 resident bedrooms, 2 bathrooms, common areas, kitchen/dinning room area, laundry area, and exterior area. Resident bedrooms were clean, organized, free from odors, and fully furnished. Resident bathrooms were clean and equipped with skid matts, hand rails, hand soap, hand sanitizer, paper towels, toilet paper, and a trash can. Common areas were observed to have enough places to sit to conduct activities and/or family visitation. The kitchen was observed to be clean and free from debris. The facility had a food supply that met the minimum requirements of two days of perishable food items and seven days of nonperishable food items. The facility also had an emergency supply of food, water, and supplies. A first aid kit was observed. Chemicals, toxins, medications, cleaning supplies, and sharps were locked away and inaccessible to residents in care. The fire extinguisher was last serviced on 04/01/2024. No emergency exits were obstructed. Residents were observed watching television, being assisted by staff members, doing individual exercises with staff, and being visited by family members. LPA Valerio reviewed facility files; 3 resident files and 2 staff files. Resident files were up to date with current information, assessments, and care plans. Staff files were up to date and had required annual training. LPA Valerio requested the following annual documentation be sent to the Regional Office: LIC 500, LIC 308, LIC 610, Liability Insurance, and Administrator Certificate Per California Code of Regulations (CCR) - Title 22, no deficiencies are being observed today. An exit interview was held, and a copy of the report was provided.