Routine inspection·March 27, 2023

Licensing Program Analyst (LPA) Karina Canela arrived unannounced to conduct an Annual Required - 1 Year inspection and met with Rajwant (Goldie) Minhas, Administrator . LPA toured the facility and observed all exits were unobstructed. Fire extinguisher was charged and serviced 03/30/2022. 7 combination smoke and carbon monoxide detectors were tested and observed operational. LPA reviewed staff and resident files. Staff have cardiopulmonary resuscitation (CPR) and first aid training completed. LPA observed resident medication to be centrally stored. Bedrooms were furnished per regulation. The facility was found to be clean and at a comfortable temperature. LPA observed hygiene supplies and hand soap available in bathrooms. Food supply was within regulation. All staff wore masks during this visit. LPA discussed the following regulations and advisory notes with Administrator: 87465(h)(5) ; 87463(a) ; 87219(a)(1); 87468(c)(2)(A) LPA requested the following updated forms to be submitted to Community Care Licensing by 04/27/2023: · LIC 308 Designation of Facility Responsibility (1 person per form) · LIC 500 Personnel Report · LIC 400 Affidavit Regarding Client/Resident Cash Resources (indicate if not handling cash for residents) · Copy of Liability Insurance · LIC 610E Emergency Disaster Plan · LIC 9020 Register of Facility Residents · Copy of current Administrator's Certificate Exit interview conducted with Rajwant (Goldie) Minhas, Administrator , whose signature on this document confirms receipt. *** No deficiencies cited during today's visit.