Routine inspection·June 26, 2023

Licensing Program Analyst (LPA) Victoria Chitgian made an unannounced visit to conduct a Required Annual inspection. LPA met with Administrator Ebraheem Hamed. This Residential care facility for the elderly is licensed for twenty-two (22) ambulatory residents. LPA observed that there are currently twenty (20) residents admitted to the facility. There are no pools, bodies or water, firearms or ammunition. LPA observed the facility is kept at a comfortable temperature of 74 degrees F. Hot water was measured in resident’s bathrooms at 109 degrees Fahrenheit. LPA observed grab bars where appropriate and non-skid mats or strips in showers and tubs. LPA observed a sufficient supply of towels, linens and personal hygiene items. Cleaning supplies were observed to be locked and inaccessible to the residents. The facility’s smoke detectors and carbon monoxide detectors were tested and are in working condition. LPA observed the fire extinguisher to be recently serviced and completely charged. Facility’s last disaster drill was conducted on 4/5/2023. LPA observed the kitchen to be clean and free of odor and all food is stored and prepared in a healthful manner. All frozen and refrigerated food is sealed correctly and protected against contamination. LPA observed an appropriate food supply of 7-day non-perishable. The back yard is completely enclosed and revealed no immediate hazards. LPA observed where resident’s medications would be centrally located and secured and inaccessible to residents. Appropriate number of staff are present in the facility during operating hours and during the evening/sleeping hours. LPA reviewed facility files and resident files for admission agreements, physician reports and written records of care. All files were organized and complete. LPA reviewed the posted signs and policies, including the Emergency and Disaster plan (LIC 610E). LPA observed the completed date to be from 2021. Administrator agreed to review and update for current year. Technical assistance issued. LPA reviewed Administrators file and observed a lack of training hours in Laws and Regulations; Resident admission and retention training, and training lacked three (3) hours in Medication management, use and misuse. Technical assistance issued. LPA also did not observe requirement 1569.69(a)(1) initial 24 hour training within first four weeks of employment. Technical Assistance issued. No deficiencies cited per Title 22, Division 6 of the California Code of Regulations at this time. Six (6) technical assistance issued. An exit interview was conducted where this report, LIC 809, and LIC 9102 was discussed and provided to Administrator Hamed Ebraheem at the end of the visit.