Routine inspection·February 25, 2025

On February 25, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced annual visit. LPA met with Administrator, Marie Gitano and explained the purpose of the visit. LPA toured the facility inside and outside including all of resident rooms, common areas & kitchen. The indoor and outdoor passageway was free of obstruction. No accessible bodies of water of fire safety hazards observed. This is a single story facility. There are three resident rooms; two of which are shared rooms and one single private room. Resident rooms were observed to be clean with all required furniture. Two full bathrooms were observed to be clean, odor-free and in good repair. Water temperature throughout the facility measured between 114-117 degrees F. Extra linen was observed to be present. First aid kit was observed to be complete. Dining room was observed free from tripping hazards. A comfortable temperature of 71 degrees F is maintained and lighting is sufficient for comfort. LPA observed two day perishables and seven day non-perishables. Extra food supply was observed to be present. Medications, sharps, and chemicals were observed unlocked an accessible to residents in care. Carbon monoxide monitors are working properly. All fire extinguishers have been checked and current as of November 2024. LPA reviewed 4 resident records and 5 staff records. Resident records are updated, complete and signed. Staff records are complete, with training logs that have met the basic requirement. Medication review was done, and all medications are accounted for, and centrally stored medication records are updated. Per California Code of Regulations (CCR) - Title 22, deficiencies were observed during this visit and can be found on the attached LIC 809D. Appeal Rights provided. Failure to correct deficiencies may result in civil penalties. Report is reviewed with Administrator and copy of the report was provided to Facility staff Maria Gitano.