Routine inspection·August 16, 2023

On 8/16/2023 at 10:15am, Licensing Program Analysts (LPAs) Michael Bilger and Arvin Villanueva arrived at this facility unannounced to conduct a required annual inspection visit. LPAs met with Administrator, Penya Hll and explained the purpose of the visit. LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 3 resident bedrooms and 1 staff room. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. A comfortable temperature is maintained at 70 degrees Fahrenheit. The hot water temperature in the residents’ shared bathroom was measured between 105 and 120 degrees Fahrenheit. Smoke alarms and carbon monoxide alarms were tested successfully. Residents’ bathrooms are equipped with grab bar and non-skid mats. Facility has an emergency food supply. There is a minimum of 7-day supply of nonperishable and 2-day of perishable foods. All toxins and other dangerous items including sharp objects were locked and inaccessible. Medication storage area was observed to be locked and inaccessible. First aid kit was observed to have adequate supplies and accessible to staff. All staff noted on LIC 500 contained criminal background clearances. LPA completed 1 staff interview. Facility’s liability insurance is current and update to date per regulatory requirements. Facility does not contain any bodies of water. LPA observed personal rights poster. Facility has appropriate internet access available for resident use. LPA reviewed facility’s disaster plan to ensure regulatory compliance. Updated copy of LIC 308 and LIC 500, and current liability insurance were provided to LPAs during the visit. Based on observation, interview, and record review, LPAs observed 2 of 3 residents maintaining a bedridden status without appropriate fire clearance. LPAs reviewed 3 residents charts and 2 staff charts. Staffing charts did not contain updated regulatory required training upon review. Per California Code of Regulations, Title 22, deficiencies were observed during this visit. Exit interview was held and a report was given to Penya Hill.