Routine inspection·April 29, 2022

LPA Audrey Jeung toured facility and grounds, including fenced backyard and detached storage shed. There are 4 private client bedrooms, 2 common bathrooms, living/dining room area, and kitchen. There is a small office, but no staff room. Washer and dryer are located in garage, which is the central entry point. There are no accessible bodies of water or fire safety hazards observed. Infection control practices are reviewed: entry procedures, staff training and policies, resident monitoring, containment strategies, environmental preparation and cleaning. PPE supply is adequate and infection control signs are posted prominently. Medications, toxins and sharps are stored appropriately and inaccessible to clients, a comfortable temperature is maintained, and lighting is sufficient for comfort and safety. First-aid kit is inspected and complete. A Disaster and Mass Casualty Plan is posted and up to date. There are 4 residents present, and 3 staff. Criminal record clearances or exemptions for facility staff or other individuals who have client contact have been reviewed; first-aid training for staff is current. Fatollah Ghlichloo and Johnny Macabasco are certified RCFE administrators (x 6/2022 and 12/2022) that oversee facility operations. The following licensing forms are requested to be submitted to CCLD by 5/6/22: - LIC 309 Administrative Organization - LIC 500 Personnel Report - Proof of current liability insurance - Proof of current surety bond No deficiencies of the RCFE Regulations, California Code of Regulations, Title 22, Division 6, are observed. Facility is operating in substantial compliance.