Routine inspection·January 24, 2024

Licensing Program Analyst (LPA) Mita Partoza conducted an unannounced annual required inspection to the facility. LPA met with administrator (ADM) Belinda Devano and 1 staff. 4 out of 4 residents are under hospice care. During visit, LPA toured the facility to include the living room, dining room, kitchen, bedrooms, bathroom, garage, and backyard. Staff room was inspected, 2.5 bathroom were inspected. The bathroom hot water temperature was measured at 105F to 115F. The room temperature in the facility was at 68-75F. LPA randomly reviewed resident and staff records including residents medications. Perishable and non-perishable food supply are within required regulation. Toiletries such toilet paper, paper towels, toothpaste are inspected and found to be in ample supply. Toxic materials such as laundry detergent, disinfectant are inaccessible to residents (locked in a cabinet). LPA tested the smoke/carbon monoxide and found to be in good working condition. Night lights are also observed and are in good working condition. All designated emergency exits and passage ways are clear from obstructions. Staff and Administrator were interviewed and reminded about infection control plan. LPA reviewed training for emergency disaster was last administered on 7/4/2023. A deficiency was cited per California Code of Regulations, Title 22 during today's visit. This report was reviewed with administrator Belinda Devano and a copy of the report was provided.