Routine inspection·May 23, 2024

Licensing Program Analysts (LPA) Tobola and Jacqueline Macias conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Lead Staff, Octavia Phea. Licensee Steven Milton was contacted and arrived later in the visit. The facility is a single story home licensed for six non-ambulatory residents. The facility currently provides care for 2 residents none of which have a diagnosis of dementia or considered non-ambulatory. At approximately 10:30am, LPAs toured the facility with Lead staff; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was tested and found to be last charged on 05/8/2024 at the time of visit. Both smoke detectors and carbon monoxide detectors were found to be functioning. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet in the facility kitchen and garage. There was a supply of cleaners, hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings. Water was measured at faucets accessible to residents and measured at 117. degrees F which is within regulation. LPAs observed fireplace to have no screen and advised Licensee to place a screen (technical advisory issued) . There are two emergency exits located in the backyard both of which were found to be unobstructed. All auditory alarms leading out of the facility send chime to the staff bedroom and were all in working order. LPAs advised Licensee to place an additional auditory alarm in the Living room. Licensee conducts disaster drills on a quarterly basis, however, records do not indicate completion on Feb 2024. During the visit, Licensee, staff, and residents completed disaster drill in compliance with quarterly requirements. Licensee agrees to complete quarterly disaster drills in a timely manner (technical violation issued ) continued to 809C... Continued from 809C... At approximately 11:00am, LPAs conducted a sample file review for staff and found all staff to have annual staff training on file. LPAs also conducted a file review for all residents. Upon review, LPAs found that resident (R1) requires an updated Physicians Report to be completed (deficiency cited, see 809D ). At approximately 12:00pm, LPAs conducted a spot check of medications and found all administering and records to be in order. Medications located in hallway were found to be secured. Facility receives medication deliveries from resident families and direct from pharmacy. Licensee, Steven Milton's Administrator Certification 7013067740 is valid through 12/14/2024. Sheryl Milton's Administrator Certification 7010836740 is valid through 3/15/2025 LPA requested the following documents be sent to CCL by COB 6/7/202: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary LIC 610 Emergency Disaster Plan LIC 9020 Register of Facility Client’s/Resident’s Liability Insurance Deficiency cited from the California Health & Safety Code, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties