Routine inspection·February 19, 2025

Licensing Program Analyst (LPA) Renee Campbell and arrived at the facility to conduct an unannounced annual inspection on 02/19/2025.  LPA met with Georgia Wilcomb, Administrator and Licensee and explained the purpose of the visit. LPA Campbell inspected the physical plant including but not limited to the common area, kitchen, dining area, client bedrooms, client bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations . This facility is a single story building licensed to serve fifteen (15) non-ambulatory and ambulatory residents. Upon entry, LPA Campbell observed food on the floor and a dining table that was still sticky from the morning breakfast. The facility was free of odor. LPA Campbell observed staff take out the garbage, but when opened a few minutes later, garbage had been placed in the garbage can without a liner. Spider webs were observed on light fixtures and painters tape was still on other ceiling light fixtures. LPAs observed bedrooms to be properly furnished with appropriate bedding and lighting. Of the four bathrooms, three were observed with clothing or towels on the bathroom floor and showers had not been cleaned. Administrator Willcomb stated the bathrooms had flooded yesterday and impacted the floors..Assistance with the toilet flooding was received from neighbors and equipment per the administrator was used that the facility kept on site. There are currently no bodies of water present . LPA Campbell observed sufficient seven-day non-perishable and two-day perishable food supplies. Fire extinguishers were last inspected on March 25, 2025. The smoke and carbon monoxide detectors were tested and found to be in good repair. Facility thermostat was observed at 76 degrees Fahrenheit. LPA Campbell checked medication storage and found medication to be locked away and inaccessible to clients. First aid kit contained scissors, thermometer and tweezers. The first aid manual could not be found per the administrator. LPA Campbell requested 4 of 11 client files and 4 of 5 staff files for review. Staff files were disorganized, missing pages or did not have the folder needed to retain paperwork. The administrator had to spent more than 5 minutes finding the requested information for staff. Three of four files were not complete. Though the administrator could not find their most current Administrator Certificate, online records show that it is active. Client file organization had improved since prior visits. Toxins were made inaccessible to clients in care. Toxins are stored in the laundry room with the files. The following documents will be email to LPA Campbell ( Renee.Campbell@dss.ca.gov ) by 02/27/2025 by 5:00 PM by end of day: (1) LIC 308 Designation of Administrative Responsibility (2) LIC 500 Personnel Report (3) Copy of Administrator Certificate (4) LIC 610 Emergency Disaster Plan Based on today's inspection, per the California Code of Regulations, Title 22, Division 6, Chapter 8, deficiencies were observed or cited and noted on LIC 809D. Note that failure to correct any deficiencies will result in additional civil  penalties.