Routine inspection·October 17, 2024

On October 17, 2024, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. Upon entry, LPA met with caregiver, Johanna Balleza and LPA explained the purpose of today's visit. The administrator, Ruth Gripo arrived shortly thereafter and assisted with the inspection. LPA toured the facility inside and outside including the bedrooms (4 private rooms), 2 full- bathrooms, kitchen, 2 living and dining rooms. The facility observed to be cleaned, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathrooms are equipped with grab bars, and nonskid tile. Facility temperature is comfortable. Hot water temperature in the bathrooms were measured at 105-108 degrees F. Central stored medication, toxins and sharps objects were observed to be locked and inaccessible to residents. Emergency drills, and staff training records were reviewed. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguisher was last serviced on May 17, 2024. LPA reviewed P & I records for 4 residents to be adequate. A review of (4) resident files was conducted and noted on the LIC 858. A review of (4) 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 with administrator, Ruth Gripo. A copy of the report is provided and appeal rights.