Non-compliance follow-up·January 9, 2024

Licensing Program Analyst (LPA) Christi Coppo arrived unannounced for the purpose of a Non-Compliance (NCC) Quarterly visit and was greeted by Caregiver. Administrator Samuel Padama arrived at approximately 9:50am. LPA discussed NCC concerns and found that the facility has submitted updated plan and facility sketch to City of Fairfield for building permit. Admin will provide CCL with all documents submitted to City of Fairfield for building permit. Fire extinguishers serviced 7/11/2023. At approximately 10:00am Admin and LPA toured facility, LPA observed that the constructed bedroom in the garage is being used only for storage, LPA confirmed with Admin that staff are not sleeping in the common areas or in the garage. LPA observed the shed in the backyard to be locked and used only for storage. Per LPA interview with Admin there are no pre-poured medications. LPA measured water temperature: water temp measured 118.8 and 115.7, respectively which are both within regulation of 105 to 120 F. Admin advised LPA that house managers have quit as of Friday, January 9, 2024. Admin informed LPA that they will take over the managers' duties. Admin to submit to CCL a written plan on how they plan to provide the services that the managers were providing. Admin will provide LPA with updated LIC500 showing Admin will be here a combined total of 20 hours per week, physically present on business days during business hours. LPA conducted a record review of [4] out of [4] staff files. Staff files complete. Proof of respective required staff training present in respective staff files. LPA conducted review of [5] out of [5] resident files. All required documents present and complete. LPA advised Admin that they need to also call 911 and/or a resident's physician when appropriate, not just contact the resident's family. Admin confirmed they understand No deficiencies cited during this inspection.