Routine inspection·March 26, 2025

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's required 1 year annual inspection. LPA met with Administrator (ADM), Nenita Abad. During visit, LPA toured the facility with ADM to include the living room, dining room, kitchen, 2 staff bedrooms, garage, 3 resident bedrooms, 3 bathrooms and exterior. All fire exit routes were free and clear of obstruction. All staff present are fingerprint cleared and associated to the facility. Facility temperature maintained at 68 degrees F. Kitchen is equipped with at least 2 days worth of perishables and 7 days worth of non-perishable foods. Medications, sharp objects, chemicals and disinfectants observed locked. Refrigerator temperature maintained at 30 degrees F and freezer temperature maintained at 0 degrees F. Men's bathroom hot water temperature maintained at 111 degrees F. Women's bathroom hot water temperature maintained at 112.4 degrees F. Resident bedrooms equipped with beds, linens, dressers, night stand and adequate lighting. Sliding doors and screen doors observed well maintained. Fire extinguisher last serviced on 1/3/2025. Carbon monoxide detector observed operable. 3 resident records were reviewed and observed complete. 3 residents medications and centrally stored medication records were reviewed and all medications were accounted for. Facility has a PRN medication log for each resident. See LIC809-C. 3 staff records were reviewed. 2 out of 3 staff has an active first aid certification. 3 out of 3 staff has a health screening, TB result, fingerprint clearance, and training. LPA advised ADM to ensure the amount of training hours completed is stated on the staff training record. Facility has an emergency disaster plan. Disaster drills are being conducted monthly and the the drill was completed in February 2025. LPA advised to include the names of the staff and residents (if applicable), who were part of the disaster drill on the drill log per Health and Safety Code Section 1569.695(c). LPA observed the facility has flash lights and batteries. Facility is equipped with a first aid kit. LPA did not observe the facility has any band-aids or roller bandages. ADM stated a plan to place an order for band-aids or roller bandages today. Documents were requested by 04/04/2025 to include: LIC500, LIC308, liability insurance, qualifications of administrator (certificate), lease agreement, emergency disaster plan, LIC200 (if applicable). LPA advised ADM to review the facility's program plan for updates and to submit the updated program plan to Licensing for review. No deficiencies were cited per California Code of Regulations, Title 22. Advisory note provided. This report was reviewed with Administrator, Nenita Abad and a copy of the report was provided.