Routine inspection·April 10, 2025

LPA Audrey Jeung toured facility and grounds, including detached storage shed. There are 3 client bedrooms and 2 full bathrooms. Washer and dryer are located in garage, in which there is a partition to create a rest area for staff on duty. No accessible bodies of water or fire safety hazards observed. Infection Control Plan is maintained. Food and PPE 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. Soap, paper towels and signage of proper hand washing procedures is posted at all sinks. First-aid kit is inspected and complete. An updated Disaster and Mass Casualty Plan is readily available. There is one resident present, and 1 staff. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed, as well as staff records. Marietta Rubin is a certified RCFE administrator )x 11/26) that oversees facility operations. Client records, including clients' personal and incidental cash records, are reviewed. The following updated forms/information are provided to LPA: • LIC 308 Designation of Administrative Responsibility • LIC 500 Personnel Report • Proof of current liability insurance • Current facility sketch, including dimensions No deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are observed. See Technical Advisory Note, 1 page.