Routine inspection·March 20, 2024

On 3/20/2024, Licensing Program Analysts (LPAs) Cassie Yang and Kerry Hiratsuka arrived unannounced at the facility to conduct a required annual inspection utilizing the full care tool. LPAs met with caregiver, and explained the purpose of the visit. Licensee arrived to facility after tour was conducted. This facility has a fire clearance for 6 non-ambulatory residents. LPAs and Caregiver conducted a tour of the interior of the facility, areas toured included: residents bedrooms, bathroom, kitchen, garage and the common areas. LPAs observed kitchen to have sharps to be locked. LPAs observed facility to have ample food supply. LPAs conducted a file review of four (4) residents files and nine (9) staff files. LPAs observed staff and residents file to be completed. The following items were discussed: -one of the resident rooms has a private shower and it appeared to be dark inside the shower when the shower curtain is closed even with the bathroom lights on. LPAs and Licensee discussed ways to brighten the inside of the shower -the resident room with the shower has a smoke detector that gets set off when the resident opens the bathroom door after a shower due to the steam from the shower. Several suggestions were discussed to prevent the alarm from going off which includes installing a fan in the bathroom and moving the smoke detector to another part of the room. -LPAs suggested installing window curtains for the bathrooms. The windows are frosted over for privacy but when the windows are open the windows do not provide privacy. No deficiencies cited. Exit interview conducted.