Routine inspection·June 29, 2023

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 6/29/23 to conduct a Required-1 Year Inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and three (3) bathrooms for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 119.9 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. LPA observed the backyard and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke detectors and carbon monoxide detector are hardwired and operational. Fire extinguishers and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medication to be locked away and inaccessible to the residents. LPA reviewed three resident files and also reviewed one staff file. Facility will email a current copy of certificate of liability insurance to LPA. Administrator has a current administrator certificate #6055985740 with an expiration date of 9/3/2024. As a result of today's inspection, a deficiency is being cited pursuant to California Code of Regulations, Health and Safety Code, regarding CPR certification. Deficiency is listed on 809-D. Exit interview was conducted. A copy of this report and appeal rights were provided. Signatures on these forms acknowledges receipt of these documents.