Routine inspection·February 4, 2025

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct a required annual inspection. LPA met with Office Administrator. Four of four staff observed on site with criminal record clearance in Licensing Information System. LPA toured physical plant with office administrator inside and outside to ensure the safety of the residents. LPA observed two facilities on two properties housing residents. LPA observed kitchen, garage, restrooms, bedrooms, and common living areas to be clean and in good repair. The temperature inside the facility was measured at 74*F which is within the required range of 68*F and 85*F, or in areas of extreme heat the maximum shall be 30*F less than the outside temperature. The hot water was measured at 119.8*F and 110.5*F within regulatory range of is not less than 105*F and not more than 120*F. LPA observed the centrally stored medications, toxins, and knives stored in the locked garage office to be locked inaccessible to residents. The first aid kit was found in compliance. LPA observed fire extinguishers which were last inspected on 1/2025. Smoke and carbon monoxide detectors, central heating and air in the facility. LPA observed food supplies of staple nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days which shall be maintained on the premises at all times. LPA observed signs posted, restrooms stocked with paper towels, hand soap and touchless covered trash cans. LPA observed bacterial analysis of private water supply is not being conducted annually. the last analysis was completed on 9/21/2021. The facility has an approved Mitigation Plan. LPA reviewed seven resident and four staff files, including criminal record clearances. All staff are fingerprint cleared and associated to the facility. During the resident file review LPA observed and outdated physician report for R1, no orders for half rails for R2 and R3. During the medication review, the department discovered that the facility is per pouring medication 24 hours in advance, no PRN letters for any resident in care, observed missing medications for R4 and half pill for R5 with no record of destruction or purpose for splitting the pill and medication not being given according to doctor's orders for R6. Per California Code of Regulations, Title 22 there were deficiencies cited during today's inspection. An exit interview was conducted with administrator. A copy of this report was left at the facility.