Routine inspection·August 29, 2023

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced on 8/29/23 to conduct a Required-1 Year Inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. There are six (6) bedrooms and five (5) bathroom for resident use. LPA observed bedrooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 106.3 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. LPA observed the outdoor area and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke detectors and carbon monoxide detector are operational. Fire extinguisher and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medication to be locked away and inaccessible to the residents. LPA reviewed two (2) resident files and also reviewed two (2) staff files. Licensee will email a copy of certificate of liability insurance. As a result of today's inspection, a deficiency is being cited pursuant to California Code of Regulations, Title 22 Division 6, Chapter 8, the deficiency is being cited on the attached 809-D page. An immediate civil penalty was issued in the amount of $500.00, due to an absence of supervision. Exit interview was conducted. A copy of this report and appeal rights were provided. Signatures on these forms acknowledge receipt of the documents.