Routine inspection·September 25, 2023

Licensing Program Analyst (LPA) Jason Lund arrived unannounced to conduct an annual/required inspection and met with Lead Staff, Gloria Balencio and explained the reason for the visit. LPA Lund spoke with Administrator Ceasar Grepo who stated that he could not make the visit and gave permission for Lead Staff, Gloria Balencio to sign required paperwork. Census 11 residents, none of which with a diagnosis of dementia and none of which are on hospice. LPA Lund & Lead Staff, Gloria Balencio toured/inspected facility and grounds was found to be at a comfortable temperature with all exits free from obstruction. No accessible bodies of water or fire safety hazards observed. Rooms have the proper furnishings for residents in care. Fire Extinguishers were found to be last serviced and inspected in 2018. Smoke and Carbon monoxide were tested and functional. There was sufficient supply of seven day perishable and two day nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins were stored in a secured maintenance closet location in the facility basement. LPA Lund reviewed two staff & three residents files. Deficiencies observed with Code of Regulations, Title 22, which are cited on a following page.Exit interview conducted with Lead Staff, Gloria Balencio, and copy of report and appeals left.