Routine inspection·March 6, 2025

On 03/06/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a 1 year required visit. LPA was greeted and granted entry by Caregiver Amelia Perlow, where explained the purpose of the visit. The administrator Carlo Munar was unable to come to the facility due to being out of town. The facility has an approved hospice waiver for (3), with (2) residents currently receiving services. LPA conducted a tour of the interior and exterior areas of the facility. The facility was observed to be clean, clutter and odor free. The medications, sharps, and chemicals were observed to be locked and inaccessible to residents in care. The smoke and carbon monoxide detectors were tested and observed to be operable. The emergency disaster drills are being conducted on a quarterly basis, the last drill was conducted on 12/11/24, with a drill being due this month (March 2025). There are no pools, bodies of water or known guns and ammunition on the premises. The facility is a single story structure consisting of (5) bedrooms and (3.5) bathrooms. There is one room designated for a live in caregiver. The food supply was observed to be sufficient. The water temperature was tested and measured to be 105 degrees Fahrenheit in the (2) resident bathrooms. All staff present were observed to have obtained criminal record clearance and were associated tot he facility with valid CPR certification. The administrator on record needs to be changed and was observed to have submitted their renewal application. The facility annual fees are due on or before 03/17/25, LPA provided PIN 746115, should the Licensee wish to pay electronically. The governing body was observed to be active and in good standing. The facility is to submit the following: updated LIC610E, Emergency Disaster Plan as well as an updated Centrally Stored Medication And Destruction Record for all (3) residents in care to the department no later than 5pm on 03/02/25. During the employee file review LPA observed for the (3) staff files to not contain proof of ongoing/current training(s) received. Deficiency cited . Based on today's inspection A citation will be issued in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report, 809D, appeal rights, LIC9098-Proof of Corrections form and LIC811-Confidential names list was reviewed and provided to Amelia Perlow.