Routine inspection·April 8, 2025

On April 8, 2025 Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by caregivers, Val Quiros and Lai Chun Chan. LPA explained the purpose of the visit. Caregiver Val Quiros called and informed the administrator of today's inspection. LPA toured facility and grounds. No accessible bodies of water or fire safety hazards observed. LPA toured inside and outside including all of resident rooms, common areas, and kitchen area. The indoor and outdoor passageways were free of obstruction. Comfortable temperature is maintained and lighting is sufficient for comfort. During the tour of the backyard, LPA observed a shed that was not on the facility sketch and in the shed, there was a bed, a table, and other personal items. LPA also observed construction in progress next to the Shed. According to the administrator, the shed is currently being used as a livable space for one of the caregivers and they are building a bathroom next to the shed. The administrator stated that the facility did not obtain a permit for the construction. LPA observed 6 resident rooms with all private rooms. Rooms were spacious and included all required furnishings. Bathrooms #1 and #2 were observed to be clean; equipped with paper towels, soap, grab bars, and non-skid mats. However, bathroom #3 had a strong urine odor, the toilet and the floor were dirty. Hot water temperature in the kitchen, and bathroom was measured at 108- 111 degrees F. 2 days for perishables and & 7 days non-perishable were observed to be present. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire drill records were reviewed. A review of (5) resident files was conducted and noted on the LIC 858. A review of (2) staff files was conducted and noted on the LIC 859. 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 civil penalties. This report is reviewed and discussed caregiver, Val Quiros. A copy is provided with the appeal rights.