Routine inspection·August 15, 2024

Licensing Program Analysts (LPAs) Simi Rai and Marcella Tarin conducted an unannounced Required 1 Year visit. LPAs met with Administrator Alex Baiasu and stated the purpose of today's visit. During visit, LPAs toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPAs Rai and Tarin toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPAs observed additional food supply areas and secured areas for cleaning supplies and laundry detergents. LPAs toured at random 10 resident bedrooms. 10 out of 10 resident bedrooms had available bedding, drawers, and functioning lights. The facility bathroom had available soap, paper towels, and trash cans with lids. The water temperature in the bathroom sinks ranged from between 110 degrees F and 117.1 degrees F. Fire extinguisher was observed and inspected on 12/05/2023. Facility smoke detectors, carbon monoxide detectors and sprinklers were inspected by a third party vendor on 08/05/2024 and passed inspection. The last disaster drill were conducted on 07/26/2024. LPAs reviewed facility records for 10 staff and 10 residents. LPAs reviewed S1 staff file and observed S1 did not have a California Criminal Record Clearance. Administrator stated S1 did not obtain a California Criminal Record Clearance after turning 18 years of age in June 2024. Administrator will ensure S1 obtains a California Criminal Record Clearance before returning to work. Continuation on LIC809-C, Page 1 out of 2. Page 2 out of 2. Deficiencies were cited per California Code of Regulations, Title 22. Technical Violation were provided during visit. A civil penalty is being assessed for the amount of $500. For S1 working in the facility for more than 5 days without obtaining a California criminal record clearance, the civil penalty will be for $500 ($100 per day x 5 days = $500). See LIC421BG. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment. This report was reviewed with Administrator Alex Baiasu and a copy of the report was provided. Appeal Rights was provided.