Routine inspection·September 23, 2024

Licensing Program Analysts (LPA) Iby Strong and Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with Caregiver Emelita Supnet. Administrator Cheryl Castro and Celeste Castro arrived shortly after. According to the facility’s license, the facility has a maximum capacity of six residents, of whom all may be non-ambulatory. LPA toured the interior and exterior of the facility and inspected each room. The facility main shower floor and shower chair were not clean. Pathways were free of obstruction and slip hazards. Resident bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in inaccessible areas. No pool or body of water is present. Per Administrators, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kit were observes and readily accessible. Water temperature was measured at 107.1 degrees, ambient room temperature was 81 degrees. Resident records reviewed had required documentation. Staff records reviewed contained required documentation. One resident was present who requires oxygen, no oxygen sign was present. One dementia resident was present, no working auditory alarm was observed. One deficiency and two technical violations, are being cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D) An exit interview was conducted with Administrators, to whom a copy of this report,LIC 9099-D, LIC9102 and the Licensee/Appeal Rights (LIC 9058 03/22) were provided to.