Routine inspection·April 7, 2022

On 04/07/22 at 9:00 am, Licensing Program Analysts (LPAs) T. White and R. Campbell arrived unannounced to conduct a required 1-year annual inspection. LPAs met with Administrator and explained the purpose of today’s inspection. LPAs was allowed entry into the facility that is licensed to serve a total capacity of 6 residents. LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. A comfortable temperature is maintained at 73 degrees Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ shared bathroom was measured at 125.8 degrees Fahrenheit. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods. Smoke detectors and carbon monoxide were in operating condition during inspection. Fire extinguisher was last serviced on November 12, 2021. Emergency Disaster Plan last updated 01/02/2022. First aid kit was observed to be complete. Fire drill was last conducted on 03/26/2022. LPAs observed completed mitigation plan. - LPAs observed hot water temperature in the shared residents bathroom measured at 125.8 degrees F. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 04/15/2022: LIC 308 Designation of Administrative Responsibility LIC 500 Personnel Report LIC 610E Emergency Disaster Plan The following deficiency was observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiency may result in civil penalties. Exit interview conducted with Administrator. A copy of report and appeal rights given.