Routine inspection·November 19, 2024

On November 19, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. LPA met with the administrator and explained the purpose of today's visit. LPA toured the facility inside and out and inspected the living room, dining area, kitchen, bedrooms, bathrooms, and backyard. The indoor and outdoor passageways were free of obstruction. The facility has 3 resident rooms (2 shared and 1 private). Furniture and furnishings were observed to be sufficient. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas in operating condition. Showers were observed equipped with non-skid mats and grab bars. Comfortable temperature is maintained and lighting is sufficient for comfort Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care. Hot water temperature in the kitchen and bathroom were measured at 108-111 degrees Fahrenheit. Fire extinguishers were checked. 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. During today's visit, LPA observed the administrator was the only staff at the facility and when she was providing a shower for resident #1 (R1), the other 3 residents were in the dining room unattended and resident #2 (R2) called out several times for assistance before he/she was attended to. During the tour of the facility, LPA observed a storage unit in the back yard was converted into a living space and according to the administrator, this is a living space for the caregiver and the facility did not have any documents to proof that this is an approved habitable space. Civil penalty in the amount of $250 is being assessed today for repeat violation. 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 an additional civil penalties. This report is reviewed and discussed with administrator. A copy of this report and the appeal rights were provided.