Routine inspection·June 17, 2024

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced Required 1-Year visit. The facility file was reviewed prior to the visit. LPA was greeted by, identified herself to, and explained the purpose of the visit with Caregiver Rommel Ladroma. During today's visit, LPA toured the facility, reviewed facility records, and observed residents in care. During the facility tour, the water temperature in a private resident bathroom was measured at 145.9 degrees Fahrenheit. LPA observed facility staff lower the water heater setting during the visit. LPA also observed a bedroom in the garage containing two beds and staff personal items. Caregivers confirmed during visit that the bedroom was designated for staff use. LPA also observed that 5 of 6 residents were non-ambulatory and the facility is only licensed for a total of 2 non-ambulatory residents. Due to time constraints, the annual inspection could not be completed and a return visit on a subsequent day is needed. The following deficiencies were cited for hot water, fire clearance, and non-ambulatory capacity and noted on the attached LIC809-D pages. Additionally, a civil penalty in the amount of $500 was assessed for fire clearance and non-ambulatory status and noted on the attached LIC421IM form. An exit interview was conducted with Caregiver Rommel Ladroma, whose signature below confirms receipt of a copy of this report, LIC421IM, and the Licensee Appeal Rights (LIC9058 3/22).