Routine inspection·August 27, 2024

On August 27, 2024, Licensing Program Analyst(LPA) Murial Han conducted an unannounced annual inspection. LPA was greeted by caregivers, Norma Solis and Ninfa Gozon. LPA explained the purpose of the visit. LPA toured the facility inside and outside including the bedrooms (2 shared rooms), 1 full- bathrooms, kitchen, common areas and 1 staff room and a storage room on the 2nd floor. The facility observed to clean, tidy and in good repair. Bedrooms were equipped with the required furniture for residents to use. Bathroom is equipped with grab bars, and nonskid mats. Facility temperature is comfortable. Hot water temperature measured at 141 degrees F in the kitchen and it was measured at 129- 139 degrees in the bathroom (the first time was measured at 139 F and about an hour later, it was measured at 129 F). Central stored medication, toxins and sharps objects were locked and inaccessible to residents. A review of (3) resident files was conducted and noted on the LIC 858. A review of (1) staff files was conducted and noted on the LIC 859. Emergency drills were reviewed and to be adequate. Food supplies were observed to be adequate. Facility is equipped with smoke detectors and carbon monoxide detectors. Fire extinguishers were last serviced on 11/7/2023. LPA reviewed the P & I record. Civil Penalty is being assess today for repeat violation. 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 caregiver. A copy of this report and the appeal rights were provided.