Routine inspection·March 13, 2025

At 10:30am on 03/13/2025, Licensing Program Analysts (LPA)s Garrett Haner-Tomasko and Melisa Rankin arrived unannounced to the facility to conduct the annual inspection. LPA met with Administrator Laarni So Hu and announced the purpose of the visit. Licensee and LPAs reviewed facility clearance roster and confirmed all staff working were on the facility roster and all cleared. Licensee and LPAs conducted a cursory tour of the facility. This facility is a seven-bedroom, 4 bathroom home with kitchen, two living rooms and dining room. There is a large center courtyard with a pergola that provided shade for residents. Five of the bedrooms are single occupancy resident rooms, the other bedrooms are for live-in staff. LPA observed that all bath rooms were stocked with liquid soap and paper towels. LPA observed each resident room and all rooms are in compliance with regulation standards with appropriate bedding, lighting, and storage. LPA noted that each room had its own exit, and all exits were free and clear of obstructions and hazards. LPA noted that smoke detectors and carbon monoxide detectors were functioning at the time of visit. Toilet, hand washing and bathing facilities are operational and secured grab bars are present. The showers have non-skid mats/flooring. The pathways are clear of any obstructions. Facility is well lit inside and outside for safety. The facility has a fenced backyard for client use with plenty of shade. The facility has telephone and internet service for resident use. LPA observed and cited for fire extinguisher due to it being purchased in 2023 and not tested since. LPA observed at least 2 days of perishable and at least seven days of non-perishable foods. LPA tested facility water temperature and noted that it was within regulation parameters of 105*-120P(f). (Continued LIC809-C) During LPAs tour of the kitchen area medication was found on the kitchen counter, narcotics were discovered unlocked in the refrigerator, unlocked cabinets containing scissors were observed. While touring the garage, LPAs found that the door was unlocked, and the garage contained chemicals and knives which were accessible to residents in care. LPAs observed staff entering and exciting garage door various times and when asked they stated they locked the door at night, but during the day staff are monitoring. All items noted above were cited. While reviewing facility records, staff have annual training completed for all subjects/topics and hours for 2024. It was noted that CPR and 1 st Aid training certificates were not valid and needed updating, this is a safety concern for residents in care, facility was cited. LPAs conducted interviews with all 4 residents in care. Residents all noted that they feel safe and supported in the facility, they have no concerns or complaints. LPA observed 3 out of the 4 residents with visitors, all visitors were allowed to enter and communicated efficiently and with ease with administrator. Exit interview done, annual report, citations, and appeal rights were printed and provided to administrator. Further time is needed, annual will be completed at a later