Routine inspection·March 11, 2024

Licensing Program Analyst (LPA) Steve Chang conducted an annual inspection visit, and met with Administrator (ADM) Jasvir Powar. LPA observed 1 staff in the facility and 6 residents in the facility. LPA reviewed 3 residents files and 3 staff files. LPA toured the facility inside out with ADM. Licensee, and administrator certificate were observed at the entrance. LPA inspected living room, family room, kitchen, dinning room, 1 staff live-in room, 1 office, and laundry room. Medication closet, knives closet, and cleaning product closet were observed locked. There are 3 rooms for residents, and 2 bathrooms are in facility. Non skid mats were observed in the bathroom. Room temperature was observed at 70 degree F, and hot water temperature was observed at 119 degree F. 2 days perishable food supplies and 7 days non perishable food supplies were observed sufficient. The facility is equipped with smoke and carbon monoxide detectors. The facility equipped with fire alarm. ADM tested the fire alarm, and smoke and carbon monoxide detectors, and they were working fine. First aid box, flash light were observed in the facility. LPA inspected the backyard, there was no obstruction to block the walkway. LPA checked the log for fire and emergency drill, the last drill was conducted on 1/25/2024. Deficiencies noted today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature.