Routine inspection·July 7, 2021

On 7/7/21 at 9:40am Licensing Program Analysts (LPA's) Sarah Hurt and Kevin Gould conducted an unannounced required 1 year annual inspection. LPA's met with Administrator Voica Matis . There are currently 5 residents who reside at this home and there is one resident 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 last inspected June 2021 . 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 137 degrees F . First Aid kit is on site and complete. Toxins and cleaning supplies are locked and inaccessible to residents in care.. LPAs requested the following documents to update facility file: LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610-E the Emergency Disaster Plan if needed and copy of current Administrator’s Certificate to update the facility file. The following deficiencies were observed and cited per California Code of Regulations, Title 22 see LIC 809-D. Exit interview conducted with Administrator and copy of report and appeal rights were left at facility.