Routine inspection·August 31, 2023

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual inspection. LPA was greeted by Licensee Ali Naghibi and explained the purpose of the visit. A tour of the facility was conducted inside and out. At the time of visit, there were six (6) clients home and two (2) staff were available. LPA conducted staff and client interviews. The facility is a seven (7) bedroom, four and a half (4.5) bathroom one story home. Clients occupy six (6) bedrooms and one (1) bedroom is reserved for staff. All clients have a private bedroom. During the tour the following was observed: Clients bedrooms had the required furnishings and were observed to be in good condition. Bathrooms had required signage, hand rails, non-slip mats. Night-lights were observed in the hallways. Fixtures and furniture for an operational facility are present and in good repair. All passageways were free of obstructions, charged fire extinguishers and the fire alarm system was operable, medications are kept centralized and locked, hazardous items are kept inaccessible to clients. Hot water was tested at 107 degrees Fahrenheit. Backyard provides shade for clients and is free from obstructions. Kitchen/Food Service: LPA observed the entire kitchen, food is stored properly and dishes are clean and in good condition. There is a sufficient supply of perishable and non-perishable foods. Area was observed to be clean and functional. Care & Supervision : Facility has sufficient care staff employed. Administration: Emergency exiting plans, telephone numbers and Ombudsman information and other required signage are posted throughout the facility. Drills are conducted quarterly. The last drill was conducted on 6/30/2023. Record Review and Client/Staff Files: LPA reviewed current staff records and all staff have Criminal Background Clearance, current CPR/First Aid certification, and trainings are current. Client records were reviewed and contained required documents including Admissions Agreements, Care Appraisal Plans and current Physician reports. Medication Review: LPA reviewed medication and medication log. Residents' medications are being dispensed according to physician's orders. No deficiencies were cited per Title 22, Division 6 of the California Code of Regulations at this time. An exit interview was conducted and a copy of this report was provided to Licensee, Ali Naghibi.