Routine inspection·April 3, 2024

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced inspection visit, and met with Administrator (ADM) Mary Lazaro. LPA observed 3 staff and 3 residents in the facility, and 3 residents went out to the day program. LPA reviewed 3 resident files and 3 staff files. LPA toured the facility inside and out with ADM. License, Personal Rights posters and Administrator Certificate were observed posted at facility. Living room, kitchen, dinning room and two restrooms were inspected. Three shared resident bedrooms, and laundry room were inspected. Two staff live-in rooms and one small office were observed in facility. First Aid Kit, flash lights, and night lights were observed in the facility. Non-skid mats and bar were observed in restrooms 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 68 degree F, and hot water temperature was at 110 degree F in facility. Temperature of freezer was observed at 0 degree F, and temperature of refrigerator was observed 38 degree F. Fire extinguisher was serviced on 12/13/2023. 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. There was no obstruction to block the walkways. All the bed rooms were observed with screens. The last time the facility conducted the emergency drill was 4/1/2024. No citation noted for today. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of report was provided to ADM.