Routine inspection·March 27, 2024

LPA Hiratsuka conducted this unannounced annual visit. This facility has a fire clearance for four non-ambulatory and two ambulatory for a total of six residents. There are three shared resident rooms and two staff rooms. There There is one full private bathroom in room #4. The only people who are allowed to use the private bathroom in Room #4 are the residents who live in that room. There is one full common bathroom. The backyard has a locked shed. The following topics were discussed: -last year Licensee/Administrator Alicia Poquiz submitted a request for an increase in capacity. She submitted a facility sketch with that request that was converting a staff room to a resident room. The request for the increase was denied and Licensee stated she is not going to pursue the increase in capacity. Today, Licensee stated she is going to ensure the staff room remains a staff room. -there is proof the staff have training and the hours required. Discussed today were different ways to log the amount of training hours and topics to make it easier to track -administrator's certificate. Administrator stated she submitted the renewal paperwork for the certificate and is still waiting for the renewal. The following shall be updated and submitted to Community Care Licensing Division by April 16, 2024: -LIC 308 designation of administrative responsibility -current liability insurance -LIC 500 facility personnel or staff schedule No deficiencies cited.