Routine inspection·September 10, 2024

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit, and met with Administrator (ADM) Jocelyn Real. LPA observed 4 staff and 2 residents in the facility. 2 residents went to day program. LPA reviewed 2 resident files and 2 staff files. LPA toured the facility inside out with ADM. License, ADM Certificate, and Personal Rights posters were observed in the facility. Family room, kitchen, dinning room and two restrooms were inspected. Bar and non skid mats were observed in the restrooms. 2 shared resident bedrooms, 2 single resident rooms, laundry room, and garage were inspected. Staff break area was observed in the garage. Three half rail beds were observed in the bedroom. ADM stated the facility has the document for that but was unable to provide during the inspection. ADM stated to provide later. Two day perishable food supplies and seven day nonperishable food supplies were observed sufficient. Medication closet, knives closet, and cleaning product closet were observed locked. Room temperature was at 72 degree F, and hot water temperature was at 114 degree F in the facility. The temperature of the freezer was observed at -16 degree F and the temperature of the refrigerator was observed at 43 degree F. ADM tested the call button system, and it works fine. Fire extinguisher was serviced on 08/15/2024. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Smoke detectors was tested by ADM, and were working fine. Front yard and backyard were inspected. Two storage rooms were observed at the backyard. There was no obstruction to block the walkways. Door alarm was observed installed at the main door. Flash lights, first aid box, and night light were observed in the facility. the last time the facility conducted the fire drill was on 8/18/2024. No citation were noted today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of the report was provided to ADM.