Routine inspection·July 5, 2023

Licensing Program Analysts (LPAs) Avelina Martinez and Pang Lee made an unannounced visit to this facility to conduct an annual inspection on 07/06/2023 at 1:30 PM. LPAs met with Harue Seki and stated the purpose of today’s visit. LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, activity room, and outside courtyards of the facility to ensure compliance with Title 22 regulations. The facility is licensed for five non-ambulatory residents and 1 ambulatory resident. There are currently 6 residents who reside at this facility. The facility has a hospice waiver for 2 residents. LPA Martinez toured the facility with Harue Seki on 07/05/2022 at 1:30 PM. The facility has a main entry screening point. The facility has covid posting throughout the facility. The facility conducts disinfecting cleaning daily, and the facility is sanitary. The facility has a designated area for visits. Fire extinguisher is good in repair, and the smoke and Carbon detector are in good repair. In addition, the facility has a first aid kit. The facility has an adequate food supply and has an emergency food kit.The water temperature measured at a 108 degrees. The facility temperature measured at 75 degrees. Moreover, the facility has an area for activities and has a public phone. The facility staff and resident files were complete and up to date. Medication administration records were complete. The exterior of the home is in good repair. There were no deficiencies observed at this annual inspection. LPA Martinez conducted an exit interview, and a copy of this report was given to Harue Seki.