Routine inspection·August 24, 2023

Licensing Program Analyst (LPA) Ruth Wallace conducted an unannounced Required 1 Year Annual Inspection visit. LPA met with Administrator and explained purpose of visit. The facility has an approved Hospice Waiver for four residents. LPA and administrator inspected the kitchen, resident bedrooms, resident bathroom, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA measured the water temperature, temperature measured at 112.3 F degrees which meets the 105-120 degree Fahrenheit regulation. Fire extinguishers were last inspected on April 19, 2023. Smoke detectors are current and in compliance with fire safety. LPA notes the facility had required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications locked. Cleaning supplies kept locked in closet. LPA observed a sufficient supply of towels and linens able to meet the needs of the residents. All Fire Exits are free of obstacles and last fire drill was completed on July 8, 2023. LPA reviewed two staff and three resident files. Resident emergency contact complete. LPA observed all staff and resident files complete. All staff have criminal record clearance and are associated to the facility. There were no deficiencies observed or cited during today's inspection per California Code of Regulations, Title 22. Exit interview conducted with administrator. LIC 811(Confidential Names) and copy of report left at facility.