Routine inspection·August 24, 2023

On 8/24/23 at 3:43 PM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an Annual inspection. LPA explained reason for inspection and was granted entry by staff. Licensee/Administrator (LIC) Angela Ramos arrived a short time later. LPA toured inside and outside the facility. No obstructions observed. Facility set at comfortable temperature. Smoke and carbon monoxide combo detector tested and operational. Fire extinguishers last serviced on 1/24/23. Hot water in hall bathroom measured at 116.4 degrees F. Bedrooms observed with sufficient lighting and furniture. Non-skids mats and grab bars observed in both bathrooms. The following deficiencies were observed: 1. One spray bottle of cleaner observed accessible on top of dryer in accessible laundry room; and cabinet where a bottle of bleach and other cleaning solutions are kept was observed with a small lock that was not secured or working. 2. Cockroach nymph was observed in master bathroom shower. 3. LPA observed non-perishable food supply did not meet minimum of one week. Deficiencies are being cited based on LPA observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22, see LIC809Ds. Due to time constraints, LPA will return at a later date to continue the Annual inspection and complete the Inspection Tool. An exit interview was conducted and Plans of Corrections were reviewed and developed with the Licensee. A copy of this report and appeal rights were discussed and left with Licensee, whose signature on this form confirms receipt of these documents. ***The following updated forms are to be submitted to CCL within two weeks: LIC308, LIC500, LIC610E, LIC9020, proof of liability insurance***