Routine inspection·July 17, 2024

On July 17, 2024 Licensing Program Analyst (LPA) Murial Han conducted an unannounced annual inspection. Upon arrival, LPA met with caregiver, Mila De Villa and explained the purpose of today's visit. The administrator and the assistant administrator arrived shortly thereafter and assisted with the inspection. Current census is 4 residents. A tour of the facility was conducted with caregiver. This is a single story facility with 6 bed rooms (2 staff rooms, 2 private rooms and 2 shared rooms). Living room, dining area, kitchen and all other areas intended for resident use were observed to be furnished and able to meet the needs of the residents. The indoor and outdoor passageways were free of obstruction. Food supplies were sufficient of 2- days perishables and 7- days of non-perishables. Toilet, hand washing and bathing areas were observed clean and in operating condition. Showers were observed equipped with non-skid mats and grab bars. Comfortable temperature is maintained and lighting is sufficient for comfort. Bed sheets, linens, and towels were observed to be sufficient and able to meet the needs of the residents at this time. Central storage for medications, sharps and chemicals were observed to be locked and inaccessible to residents in care. Hot water temperature in the bathroom and kitchen were measured at 105- 115 degrees Fahrenheit. Fire extinguisher was checked. A review of (4) resident files was conducted and noted on the LIC 858. A review of (3) staff files was conducted and noted on the LIC 859. LPA requested for a copy of the Liability Insurance, control of property, and administrator certification to be submitted by 7/18/2024. 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 with the administrator and the assistant administrator. A copy of this report and the appeal rights were provided.