Routine inspection·June 18, 2024

LPA Audrey Jeung toured facility and grounds, consisting of 6 client bedrooms and a staff bedroom for one staff. Four client rooms have private half bathrooms and one bedroom is adjacent to full bath/shower room. All client rooms have direct exiting to wrap around wooden deck. There is a living/dining room area and kitchen, as well as attached garage, where washer and dryer are located. No accessible bodies of water or fire safety hazards observed. PPE supply is 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. Hot water temperature tested at 105 degrees in bath/shower room. Liquid soap is available at all sinks. First-aid kit is inspected. A Disaster and Mass Casualty Plan is posted. There are 5 residents present, and 2 staff, plus the administrator. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed. Jennifer Tobias is a certified RCFE administrator that oversees facility operations. Some staff records are reviewed. The following updated forms/information are requested to be submitted to CCLD BY 7/2/24: • LIC 309 Administrative Organization • Proof of current Liability Insurance • LIC 500 Personnel Report Client records will be reviewed at a later date, in addition to additional staff records. No deficiencies of the RCFE California Code of Regulations, Title 22, Division 6, Chapter 8 are cited. See Technical Advisory Note for additional information.