Routine inspection·March 29, 2024

On March 29, 2024 at 9:25 AM, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Nancy Supetran, Caregiver and explained the purpose of his visit. LPA Calandra also called and spoke with Administrator, Renelee So who was unavailable to join the visit and explained the purpose of his visit. LPA Calandra toured the physical plant. This is a 1 story building with 3 bedrooms, 2 bathrooms, a kitchen, dining room and living room. The facility was maintained at a comfortable temperature of 70 degrees Fahrenheit. No accessible bodies of water or hazards were observed in hallways or the backyard. The facility's fire extinguishers were observed to be fully charged and last checked on 11/8/2023. The facility's fire and Carbon Monoxide detectors were observed to be in working order. All bedrooms had sufficient lighting and the required furniture. Night lights were observed to be in working condition in the hallway. Hot water temperature was measured at 113.3 degrees Fahrenheit well within the required range of 105-120 degrees Fahrenheit. No food was expired. The facility has the required 7 days of non-perishables and 2 days of perishables on site. The Washer and Dryer were observed to be in good repair. All sharp objects, detergent, poisons, and medications were locked up and in-accessible to persons in care. All Personal & Incidental(P&I) money kept at the facility matched facility records. LPA Calandra reviewed 5 client files. All were observed to be complete except for two which were missing pre-admission appraisals. LPA Calandra also reviewed 5 staff files. All were observed to be complete. A review of Centrally stored medications indicated that medications for residents were properly labeled with instructions on dosage and times of day and matched the Centrally Stored Medication records kept at the facility. LPA Calandra interviewed 2 clients and 1 staff member. A Type B violation was provided for not completing a pre-admission appraisal for R1 and R2. Deficiencies are cited under California Code of Regulations, Title 22, cited on the LIC 809-D. Failure to correct the deficiencies may result in civil penalties. This report was reviewed with Nancy Supetran, Caregiver and a copy of the report left at the facility.