Routine inspection·December 22, 2023

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct an annual inspection. LPA Moleski met with facility administrator Vicky Jiao and explained the purpose of the visit. LPA Moleski reviewed three resident files (R1-R3) and three staff files (S1-S3). LPA Moleski toured the facility with Jiao and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas. Furniture and furnishings were sufficient to meet the needs of residents. The facility temperature was 74 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature measured 111 degrees Fahrenheit, which is within the required range of 105 and 120 degrees. This facility is cleared for six ambulatory residents and five non-ambulatory residents. All six residents are non-ambulatory, according to their LIC 602s. Additionally, LPA Moleski observed both gates leading out of the back yard locked during this visit. Staff removed the locks. LPA Moleski observed first aid supplies, fully-charged and up-to-date fire extinguishers, and working smoke detectors. LPA Moleski observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. LPA Moleski observed a locked cabinet for the storage of medication. LPA Moleski observed locked cabinets for the storage of cleaning solutions. LPA Moleski interviewed two staff members (S1-S2) and two residents (R3, R5). This facility is being cited per 22 CCR Section 87202(a) . An exit interview was held with Jiao. Appeal rights and a copy of this report was left with Jiao.