Routine inspection·September 17, 2024

On September 17, 2024 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by caregiver, Criselda Bautista and LPA explained the purpose of the visit. Lead caregiver, Phillip Elera arrived shortly thereafter and assisted with the visit. LPA toured the facility inside out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, garage and backyard. This is a single story home with 5 resident bedrooms(4 private and 1 semi-private), 2 full bathrooms, and 1 staff room. The indoor and outdoor passageways were free of obstruction. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature was measured at 108-112 degrees F. Central stored medication were observed to be locked and inaccessible to residents. Food supplies were observed to be adequate, Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced Oct 26, 2023. Fire drill was last conducted on August 2024. A review of (4) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. The following document is requested submitted to CCL by 9/18/2024 - Administrator Certification Based on observation, deficiency is cited under California Code of Regulations, Title, 22 cited on the LIC 809D. Failure to correct the deficiencies may result in civil penalties. . This report is reviewed and discussed with the lead caregiver. A copy of this report and the appeal rights were provided.