Routine inspection·October 17, 2023

Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced required 1 year annual inspection visit. LPA Wallace met with administrator and explained the purpose of today's visit. Administrator certificate expires October 24, 2024. LPA Wallace and administrator toured the grounds and the physical plant. The grounds were observed to be well maintained and all pathways are free of obstruction. There are no bodies of water on the property. The interior of the physical plant was observed to be sanitary and free of odor. There was adequate lighting observed and adequate furniture observed. There are four resident bedrooms and two of four bedrooms are double occupancy. The resident bedrooms all were observed to contain a lamp, dresser, night stand and chair. There was an adequate supply of linen observed. All medications, toxins, and sharp objects were observed to be locked and inaccessible to residents in care. LPA Wallace observed a two day supply of perishable food and seven day supply of non-perishable food on hand. The water temperature in the resident bathroom in the main hallway was measured at 112.5 degrees which falls within the required regulatory range of 105 - 120 degrees. The thermostat was set at 73 degrees which falls within the required regulatory range of 68 to 85 degrees. The fire extinguishers were serviced on November 2, 2022 and are in compliance. The fire alarm and carbon monoxide detectors were tested and found to be in good in repair. The first aid kit was observed to be complete with tweezers, scissors, a thermometer, manual and various wound dressings. LPA reviewed two staff and three resident files that were locked and readily available for review. Staff had current First Aid/CPR certificates All staff have criminal record clearance and are associated to the facility. LPA received the following updated documents on today's date: Administrator Certificate and copy of liability insurance Per the California Code of Regulations, Title 22 no deficiencies were observed or cited. Exit interview held with administrator. A report and LIC 811 (Confidential Names) was left at the facility