Routine inspection·October 5, 2023

On 10/5/2023, Licensing Program Analysts (LPAs) Cassie Yang and Cheyenne Ratajczak arrived unannounced at the facility to conduct a Required 1- year annual inspection utilizing the care tool. LPAs met with caregiver, Kassie Howell, who contacted Administrator, Karl Ramos, who arrived to the facility shortly afterwards. LPAs and Caregiver conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: six private residents room, two bathroom, kitchen, backyard, storage area, and the common areas. LPAs observed three residents in the common area watching television and two residents in their private rooms. LPAs observed the facility to have 2+ days of perishable and 7+ days of nonperishable foods. LPAs observed the laundry door to be unlock. LPAs observed cleaning solutions to be stored in the laundry room. LPAs informed caregiver although facility is in the middle of laundry, door shall be locked at all times. LPAs conducted a file review of personnel and residents records. LPAs observed one staff file to be incomplete with the required documents. LPAs provided facility with a copy of California Code Regulation 87412 Personnel Records. LPAs additionally provided facility with a list of the required documents for staff files. LPAs completed the full care tool and deficiencies was observed. Please see LIC 809-D. Exit interview conducted and a copy of the report and appeal rights was provided.