Routine inspection·July 18, 2023

Licensing Program Analyst (LPA) Cheryl Goodrich conducted an unannounced annual visit. LPA met with the Administrator Sandy Krasovec at the front door and was granted entry. The purpose of today’s visit is to inspect the facility to ensure that the facility follows California Code of Regulations, Title 22, Division 6. Facility is approved for four (16) ambulatory residents. The Facility is also approved for locked perimeter fenced gate. Physical Plant: front entrance, interior and surrounding exterior were clean and in good repair with no pathway obstruction; doorway alarms were in working order; facility temperature read at 76 degrees; residents' restroom water temperature read at 122.5 degrees; there were no bodies of water on premises; there was sufficient lighting and mattress pads in all the residents' bedrooms; fire alarm and smoke carbon monoxide detectors were in working order. Facility does not house firearms and/or ammunition on grounds. Infection Control Plan: The facility has an approved infection control plan that outlines hand washing procedures, handling of residents and bodily fluids and disposal of such items. The facility maintains personal protective equipment and first aid supplies. Food Services : 7-day non-perishable and 2 day of perishable food supply was observed, and all food was properly stored and available to residents. The facility had 3 refrigerators and 2 freezers upstairs and 1 refrigerator and 1 freezer downstairs and enough emergency food for both residents and staff. Medication/Facility Records: Medications were observed to be labeled and in a locked place that is inaccessible to residents. All staff subject to a criminal record review obtained fingerprint clearance and/or an exemption. Staff responsible for direct care and supervision have current First Aid / CPR training. The Administrator has completed a written admission agreement, current medical assessment and needs and service plan with each resident. Waivers are in place and meet said terms. The Administrator does not handle resident cash resources. Last disaster drill was held on 06/12/23. Summary : Based on today's visit, no deficiencies were observed at this time. An exit interview was conducted with Administrator Sandy Krasovec, and a copy of this report was printed Signature below confirms receipt of these rights.