Routine inspection·July 11, 2023

Licensing Program Analysts (LPAs) Avelina Martinez made an unannounced visit to this facility to conduct an annual inspection on 07/11/2023 at 12:00 PM. LPA met with Harue Seki and stated the purpose of today’s visit. LPA Martinez 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 six non-ambulatory residents. There are currently five residents who reside at this facility. The facility has a hospice waiver for three residents. The Administrator has a current administrator certificate. LPA Martinez toured the facility with Harue Seki on 07/11/2022 at 12:45 PM. The facility has an adequate food supply. In addition, resident bathrooms and bedrooms are furnished and sanitary. The facility has an area for activities, and a public telephone. The Last fire drill was in February 2023, and smoke detectors, carbon detectors, and fire extinguishers are in good repair. The facility has a locked cabinet for medications, and has a first aid kit. The facility staff and resident files were complete. Moreover, the facility has a laundry area. The facility water temperature measured at 110 degrees, and facility temperature measured at 75 degrees. The exterior of the facility was clear of debris, and the facility has a sitting area for residents. 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.