Routine inspection·April 8, 2025

At approximately 12:40 PM, Licensing Program Analysts (LPAs) Magdaleno and Cuadra arrived unannounced to conduct a required 1-year annual inspection and were greeted by Administrator Debra Best. Facility is a Residential Care Facility for the Elderly (RCFE) with zero (0) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for two (2), with zero(0) Hospice residents currently in care and is approved for all non-ambulatory residents. At approximately 1:00 PM, LPAs initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Fire extinguishers were last inspected 11/24. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured between 106.2 and 110.1 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPAs observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to be move in ready with all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Continued 809C... Continued from 809... LPAs observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. There is a shaded seating area in the backyard with outdoor space for activities. LPAs observed one locked shed in the backyard which LPAs inspected and observed the contents of which to be overflow storage. LPAs observed a piano, bookshelves full of books, puzzles, and LPAs were informed that the facility has residents plays bingo, tend flowers, conduct afternoon exercises, dance, and go on weekend trips into the community to eat. Facility telephone was tested and operational during inspection. LPAs observed a locked cabinet that will be used to centrally store medication upon resident arrival. At approximately 2:00 PM LPAs conducted review of three (3) staff records. Administrator will have all required paperwork when new residents are taken in. LPAs observed staff on staff roster that was not associated with facility. Administrator informed LPAs they are in the process of associating new staff and they will not work until associated. Debra Best Administrator Certificate 7006809740 expires 11/2026. All fees are current as of this time. LPA and Administrator discussed facility's Emergency Disaster plan, last updated 6/24. Updated copies of the following documents were requested for facility file and are to be submitted to CCL within 30 days of this visit: Liability Insurance LIC500 - Personnel Report LIC308 - Designation of Responsibility LIC400 - Affidavit Regarding Client Cash Resources LIC402 - Surety Bond No deficiencies cited. Exit interview conducted with Administrator and a copy of this report was given.