Routine inspection·March 25, 2025

On 03/25/2025 at approximately 9:45 AM Licensing Program Analyst (LPA) Stevenson arrived and first met with Chuluunchimeg Young licensee/administrator and later her husband Alex Young who is co-licensee and an administrator to conduct an unannounced Annual Required – 1 yr. inspection of this facility. The facility has capacity for 6 clients including 5 non-ambulatory and 1 bedridden resident with a hospice clearance for 2. The facility currently provides care for 2 residents, none of which are receiving hospice services and none of which a diagnosis of dementia. At approximately 10:15 AM LPA continued with a tour of the facility with Administrator Chuluunchimeg Young and facility was found to be spacious, bright, clean, without odors and at a comfortable temperature with all exits free from obstruction. All required postings and signage at the front of the facility were found to be in order with information easily accessible for staff and residents. Residents have access to a sunroom with views of the bay, and shaded gazebo, lounging area, snacks, coffee station, large TV etc. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers found throughout the facility to be recently purchased on 1/04/2025. Smoke and carbon monoxide detectors are interconnected throughout the facility, were tested and found to be functioning. There was a sufficient supply and variety of both perishable and nonperishable and healthy foods as required by Title 22 Regulations. Licensee was advised to ensure that all food, once removed from it original/commercial bag was labeled/dated. The majority of cleaning supplies and other toxins were safely stored in a locked closet in the hallway, licensee was reminded to ensure that once cleaning supplies were used that they were quickly returned to their locked storage; today both toilet bowel cleaner and oven cleaner were found just outside locked storage closet. A lockable staff area was noted to be unlocked with potential access to over-the-counter supplements and meds used by staff and a technical violation was issued with a suggestion to use a more readily locked door like a keypad door knob or locking closet to ensure easier compliance. Continued onto LIC809-C Continued from LIC809 Sharps that could pose a danger if available to residents were found secured under the kitchen sink. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items. Water was measured at faucets accessible to residents and measured between 114.6 and 112.7 degrees F which is within regulation. At approximately 11:30 AM LPA conducted file review for staff and found all staff to have appropriate training, health clearance, TB testing and background clearance to work. LPA also conducted a file review for all residents. Upon review, LPA found that all resident Needs & Service Plans and Physician's Reports, TB clearance, admissions agreements and Consent from medical treatments to be current. A review and observation of the house kept MAR along with interviews revealed that one (1) of two (2) clients, client one (C1) in care did not have the day before medicines logged(picture taken) (Type B citation issued) Deficiencies are cited from the California Code of Regulations (CCRs) and/or Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, or repeat violations within a 12 month period, may result in a civil penalty assessment. This report was reviewed with Alex Young whose signature here indicated understanding and Appeal rights were given. LPA requested the following documents be sent to CCL by 03/25/2025:LIC 308 Designated Facility Responsibility, LIC 500 Personnel Summary, LIC 9020 Register of Facility Client’s/Resident’s, Liability Insurance (current)