Routine inspection·May 18, 2023

Licensing Program Analyst (LPA) Karina Canela arrived for the purpose of conducting a Required -1 Year inspection and met with Josephine Sana, Administrator . All residents were at their scheduled Day Program during time of visit. LPA toured the facility, all exits were unobstructed. 2 of 2 fire extinguishers were charged and serviced 08/30/2022. There are 10 hardwired smoke combination carbon monoxide detectors, which were tested & observed operational. The facility has submitted their Infection Control Plan to the California Department of Social Services, Community Care Licensing Division. The facility was found to be clean & at a comfortable temperature; screening station was observed at front entrance. LPA observed a supply of PPE, linens (bedding, towels, etc.), and cleaning solutions (observed locked & inaccessible). Liquid hand soap and paper towels are available in bathrooms. 4 of 4 resident bedrooms were fully furnished per regulation. Facility food supply was within regulation and accessible to residents. Medication was centrally stored and inaccessible to residents. LPA requested the following updated forms to be submitted to Community Care Licensing by 06/19/2023: · LIC 308 Designation of Facility Responsibility (1 person per form) · LIC 500 Personnel Report · LIC 400 Affidavit Regarding Client/Resident Cash Resources (indicate if not handling cash for residents) · Copy of Surety Bond · Copy of Liability Insurance · LIC 610E Emergency Disaster Plan · Copy of current Administrator's Certificate Exit interview conducted with Administrator, whose signature on this document confirms receipt. ***No deficiencies cited during this inspection