Routine inspection·September 29, 2023

Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Annual Required – 1 yr. inspection for this facility and met with Administrator, Neil Lomboy (NL).The facility currently provides care for 6 residents. There were 2 care staff on site at the time of inspection. LPA arrived at the facility and was allowed access. Administrator arrived shortly and toured the facility with LPA. Facility was at a comfortable temperature. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 04/03/2023. Smoke and carbon monoxide detectors were tested and found to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Care staff have current CPR and 1st Aid training on file. LPA observed live-in staff bedroom to be locked and secured. Toxins are stored in a locked cabinet in the facility garage and under bathroom and kitchen sinks and found to be secured. There was a supply of hygiene products and paper products available for resident use. All residents bedrooms have lighting & appropriate furnishings. Water temperature was measured at faucets accessible to residents and was measured at 117.4 degrees F which is within regulation between 105 and 120 degrees F. Continued...... Continued...... Facility has submitted Infection Control Plan. Facility has qualified for a Community Care Expansion Grant and will be receiving some renovations including flooring, bathroom upgrades and kitchen cabinets within the next few months. LPA requested the following documents be sent to CCL by 10/15/23: LIC 308 Designated Facility Responsibility LIC 500 Personnel Summary Copy of Certificate of Liability Insurance Updated Lease Agreement No deficiencies cited during today's visit.