Routine inspection·June 16, 2023

Licensing Program Analyst (LPA) Renee Campbell and Regional Manager (RM) Stephenie Doub conducted an unannounced Annual 1-Year Required visit on this date. LPA met and toured with Administrator, Randy Morelos. The administrator currently holds a certificate (#6013638740) that expires on 05/16/2024. LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms of which 4 bedrooms can be occupied by up to 6 residents and no bedroom is occupied by staff. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 74 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. There were 6 smoke alarms and 1 carbon monoxide alarm that were found to be functioning. Fire extinguishers last inspected on 07/20/2022. Residents’ bathrooms were equipped with grab bars. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods. LPA reviewed 2 of 2 resident files. Of the two resident files reviewed, one client did not have a current 602 and neither client has a Needs and Services Plan. There were 3 of 3 staff files that were reviewed. Staff are missing required continuing education requirements. In resident bedrooms, two of two bedrooms had deadbolts on both sides. LPA Campbell observed that the facility had no obstructions in hallways.. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by: 06/22/2023 LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate Exit interview conducted. Appeal Rights and a copy of this report provided.