Routine inspection·October 7, 2024

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct a Required - 1 Year inspection and met with Administrator, Josephine Mendoza. There are currently 5 residents in care. There were 2 staff at the time of inspection. This facility is licensed for 6 non-ambulatory residents, with6 LPA toured facility and grounds and observed all required signs posted in common areas. Facility was found to be at a comfortable temperature with all exits free from obstruction. Facility has at least two days supply of perishable and one week of non-perishable foods and items are stored properly. The grounds are clean and provide easy access for the residents to enjoy fresh air. The shed in the back yard is for storage of equipment only. The bedrooms are all furnished as required. Bathrooms have non-skid mats and grab bars. Fire Extinguishers were fully charged, and serviced on 9/11/2024. Carbon monoxide and smoke detectors were tested and operational during the visit. Water temperature measured within the required regulation of 105 to 120 degrees F. Staff and resident files were reviewed and found complete and organized. Staff have the required training and proof of CPR/1st aid expiring 2025/2026. Administrator certificate for Josephine Mendoza #6018160740 expired on 7/9/2024, but was renewed on time and waiting for new certificate. LPA received the following copies of updated forms during the visit: · LIC 308 Designation of Facility Responsibility · LIC 500 Personnel Report · LIC 610 Emergency Disaster Plan · LIC 9020 Register of Facility Residents Copy of liability, Copy of current Lease/Rental Agreement good until 2028 Exit interview conducted with Josephine Mendoza. No deficiencies cited during this inspection