Routine inspection·July 8, 2024

LPA Audrey Jeung toured facility and grounds of this RCFE for developmentally disabled elderly. No accessible bodies of water or fire safety hazards are observed. There are 3 shared bedrooms for residents and 2 bathrooms--one designated for residents. As per San Mateo Fire Dept.(5/2010), exit doors in bedrooms are not required to be exits. In addition, there are 2 staff rooms for 4 live-in staff. There is a detached storage shed in backyard. Washer and dryer are located in one car attached garage. Staff confirmed that facility is currently COVID free. PPE and 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. Soap and paper towels are present in bathrooms and kitchen sink. Toilet and bathing facilities are equipped with grab bars and nonskid flooring material. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted. There are 2 residents present, and 3 staff; other clients are participating in day programming off site. Criminal record clearances or exemptions for facility staff or other individuals who have client contact are reviewed, as well as other staff and client records. Aurelia Navarro is a certified RCFE administrator (x 9/25) that oversees facility operations. The following forms/information are requested to be updated and submitted to CCLD by 7/22/24: - Administrative Organization (LIC309) - Designation of Administrative Responsibility (LIC308) - Personnel REport (LIC500) - Emergency Disaster Plan (LIC610 revised 9 page version) - Facility Sketch (LIC999) - Control of property (recorded grant deed and current signed lease) Proof of current liability insurance is given to LPA today. Deficiency of the General Licensing Regulations, of the California Code of Regulations, Title 22, Division 6, is cited. Also see Technical Advisory Notes--5 pages--for additional information.