Routine inspection·July 11, 2024

On 7/11/2024, Licensing Program Analyst (LPA) Cassie Yang and Department of Consumer Affairs Associate Governmental Program Analyst (AGPA) Jessica Vo arrived unannounced at the facility to conduct a required annual inspection utilizing the full care tool. LPA met with Administrator and explained the purpose of the visit. During today's visit, LPA, AGPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured included but not limited to: six residents room, two bathroom, kitchen, backyard and the common areas. At arrival in the common areas, LPA and AGPA observed the fire door to popped open with a door stopper. When asked, caregiver informed LPA that door may have been opened for approximately two days. During tour, LPA observed cleaning supply to be stored under the bathroom sink. LPA informed Administrator cleaning supplies are to be locked inaccessible to residents in care, cleaning supply was collected and locked immediately. LPA, AGPA, Administrator continued inspection to the kitchen, and observed the knives and medications to be locked. LPA observed key to cabinet to be store in an conspicuous space. LPA informed Administrator key to locks should be kept where it is inaccessible to residents in care. LPA and Administrator continued inspection to the garage/storage space and observed the area to have a private lock to enter. Once entered, LPA observed the space to have furnitures, clothings and a cooking space. When asked if area is being used as a living quarrel, Administrator informed LPA and AGPA no. When asked why is there furniture in the garage, Administrator informed LPA it is for Administrator to stay in on occasions. When asked if Administrator and his family are living at the facility, Administrator informed LPA no but Administrator stays overnight on occasions for supervision. Tour was continued to the upstairs living space and observed two rooms to be occupied with personal belongings. LPA informed Administrator inspection is to be continued another day and LPA will reach out to Administrator regarding a mandatory office meeting. Deficiencies cited, please see LIC 809-D. Exit interview and a copy of report and appeal rights was provided.