Routine inspection·July 12, 2021

Licensing Program Analysts (LPA's) Sarah Hurt and Ruth Wallace conducted an unannounced visit today for the facilities annual inspection. LPA's met with Administrator Marinela Placintar. Administrator's Certification expires 06/23/2022 .There are currently 6 residents who reside at this home and there is 3 residents are on hospice at this time. LPA'S inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, medication storage, kitchen, garage and outdoor areas. Bedrooms were clean and in good repair. There is a locked storage for medications. Food supply is adequate for 2-day perishable and 7-day nonperishable. Fire extinguishers expired on 09/05/2020. Smoke alarms were tested and are operational. The home has a carbon monoxide detector and performs disaster drills as required. Water temperature was tested at 115F degrees. First Aid kit is on site and complete. Toxins are locked. This facility is operating within the scope of their license. LPA's reviewed 6 resident files. Resident's medical files and medications were reviewed. All resident files review were in compliance Two staff files reviewed and each had the required criminal record clearances. First Aid and CPR training for was current and staff has current training The following deficiency was observed and cited per California Code of Regulations, Title 22 see LIC 809-D Immediate civil penalty of $500 was issued on today's date. The administrator shall send in updated copies of the LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-D the Emergency Disaster Plan if needed and copy of current Administrator’s Certificate to update the facility file. Listed documents shall be sent to Licensing. Exit interview conducted with Administrator and copy of report left at facility.