Routine inspection·September 30, 2024

Licensing Program Analyst (LPA) Renee Campbell arrived unannounced to conduct an annual inspection. LPA Campbell met with Brandi Vargas, Administrator and explained the purpose of the visit. The facility is a single story residence licensed for a capacity of 6 non-ambulatory elderly residents with a hospice waiver for 6 elderly residents. LPA Campbell toured the facility and inspected common areas, the kitchen, bedrooms, bathrooms, and backyard areas to ensure there are no safety hazards for residents. Furniture and furnishings were sufficient to meet the needs of residents. As observed by LPA Campbell, there are three clients residing in the facility. The facility has three bedrooms and two bathrooms. All bedrooms contain a bed, night stand, lamp and closet for each resident. The facility temperature was 77 degrees Fahrenheit, which is within the required range of 68 and 85 degrees. The facility's water temperature in the bathroom was measured at 108 degrees Fahrenheit and 118 degrees in the kitchen which is within the required range of 105 and 120 degrees. The backyard was toured by LPA Campbell and pathways and exits were found to be clear. A locked shed was observed in the backyard containing yard equipment. In the metal cabinet in the dining area, LPA Campbell observed first aid supplies with bandages, scissors, tweezers and a manual. A thermometer was stored in the same cabinet along with client medications and sharps. There was a fully-charged and up-to-date fire extinguisher that was last inspected on 06/19/2024 by the entry to the garage. The carbon monoxide/smoke detectors were tested successfully during the visit. LPA Campbell observed a minimum 2-day supply of perishable food and a minimum 7-day supply of nonperishable food. There are currently three staff in all for the facility. All three staff have been fingerprint cleared to work in the facility. Of the three staff, all three of their files were reviewed. All three of the client files for the three clients in the facility, were reviewed as well. Staff present in the facility were interviewed as required for the CARE Tool. LPA Campbell observed a Water Temperature Log for the facility and the Residential Infection Control Plan kept on file. A "See Something Say Something" Poster was observed at the entrance to the garage. LPA Campbell consulted with facility regarding dating newly purchased condiments, highlighting the hire date on client checklists and using a lock that was more easily accessed to encourage consistent locking practices. Per California Code of Regulations (CCR's) - Title 22, Division 6, Chapter 8, no deficiencies are being cited. An exit interview was conducted with Brandi Vargas, Administrator and a copy of this report was provided.