Routine inspection·January 30, 2024

LPA Audrey Jeung toured facility and grounds of this 1-level home, consisting of 6 client bedrooms--all with half bathrooms and exit doors--1 staff room, a common bathroom, shower room, kitchen and living/dining room. There is an enclosed patio and backyard. Washer and dryer are located in 2 car garage. No accessible bodies of water or fire safety hazards observed. PPE supply is inspected. Food supplies are adequate. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. Liquid soap is available at all sinks. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 6 residents present and 2 staff. LPA interviewed 2 residents. One resident is receiving hospice services. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, including current first aid training and health screenings. Tina Camaclang and Genny Flores are certified RCFE administrators (x 2/24 and 1/25) that oversee facility operations. The following information/forms are requested to be submitted to CCLD BY 2/13/24: - Designation of Facility Responsibility (LIC308) - Personnel Report (LIC500) - Emergency Disaster Plan (LIC610E) - Facility Floor Plan (LIC999 including all bathrooms) - Proof of current liability insurance - Annual licensing fees due $1237 or proof of payment Deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed and cited on following pages. Technical Violations are issued--see 7 pages.