Routine inspection·June 11, 2025

On 06/11/2025 unannounced annual inspection was made to this facility by Licensing Program Analyst (LPA) Sommer Hayes. The LPA identified themselves and the purpose of the visit and asked to speak to the Designated Facility Administrator (DFA). LPA was met by Alyssa Robinson the Designated Facility Administrator and a brief interview followed. LPA was allowed entry into the facility that is licensed to serve a total capacity of 6 residents. The current census is 4. LPA Hayes toured the facility with the Designated Facility Administrator (DFA), Alyssa Robinson. The kitchen was accessible to residents and clean and sanitary. The LPA observed 7 days of non-perishable and 2 days of perishable food supplies. There is enough clean plates, cups and bowls and cutlery to meet capacity. Opened packages in the refrigerator were dated appropriately. All pantry items were dated as well. Water temperature measured 105 degrees F within regulation between 105 and 120 degrees F at faucets accessible to residents. Fire extinguishers inspected were charged on 01/22/25 by River City Fire. A smoke detector in living room was tested and and working. Carbon Monoxide detectors were present. Continued on 809-C There was enough lighting in all common areas, resident rooms, and hallways. Medication is centrally stored and secured. The medication administration record (MAR) was reviewed and found to be complete with a detailed accounting of medications that have been provided to residents. The garage is not accessible to residents and contained diaper supplies, a deep freezer and cleaning supplies. Administrator states residents cannot access the laundry room. LPA observed the backyard of the facility to be clean and free of obstruction. There are shaded areas for residents to enjoy. Fencing was in good repair. There was patio furniture, flowers and a walking path for residents. There were no bodies of water. Two first aid kits were observed containing a first aid manual, tweezers, scissors, gauze and Band-Aids. The facility living room was clean and free of obstruction. The temperature reading was 77 degrees Fahrenheit per Title 22 regulations. The seating is efficient seating for the number of residents in this facility. Per California Code of Regulations, Title 22, no deficiencies were observed during today’s visit. Exit interview was conducted. A copy of this report was provided to DFA, Alyssa Robinson.