Routine inspection·August 31, 2022

Licensing Program Analyst (LPA) Jamie Ivey Canady arrived unannounced to conduct a Required - Annual visit on 08/31/2022 at 10:00 AM. Administrator Certificate for Diane Garcia expires 01/03/2023. LPA met with Gloria Bailey regarding the purpose of todays visit. Gloria contacted the Administrator Diane Garcia whom arrived 30 minutes after LPA's arrival. The facility is licensed for 6 non ambulatory, there are 5 residents present today. LPA toured and inspected the physical plant inside and outside to ensure there are no safety hazards to residents. LPA observed and interviewed residents during this visit. LPA observed 2-day perishables and 7-day non-perishables. The temperature inside the facility was observed to be at 74*F which is within the required range of 68-85*F. The hot water temperature was measured at 105.5*F which is within the required range of 105-120*F. LPA observed fire extinguisher(s), smoke and carbon monoxide detectors, and central heating and air in the facility. LPA observed the centrally stored medications area to be locked and inaccessible to residents. The first aid kit contained the required items such as sterile dressings, bandages, adhesive tape, scissors, tweezers, thermometers, antiseptic solution and guide. Upon a file review the following items were discussed to be submitted with any changes annually: Designation of Facility Responsibility (LIC308) Liability Insurance Personnel Report (LIC500) Administrator Certificate Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 8, no deficiencies are being cited. An exit interview was conducted. A copy of this report was provided.