Routine inspection·July 14, 2025

Licensing Program Analysts (LPA) Martha Arroyo conducted an unannounced visit to the facility to conduct the annual inspection today. Upon arrival, there were two (2) staff and six (6) residents present. The LPA met with staff who then contacted the Administrator via telephone. The Administrator, Jennifer Hamilton arrived at the facility at approximately 10:20am. Entrance interview. The LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: KITCHEN: The LPA inspected the kitchen/food service area at approximately 10:22am. Knives and sharps were observed in a locked drawer at the time of the visit. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. Cleaning supplies were observed locked and inaccessible under the kitchen sink. COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. Fire extinguisher was observed to be new with a purchase date of 04/17/2025. The LPA observed a fireplace adequately covered at the time of the visit. Nightlights observed throughout the common areas and bathrooms. The LPA observed required postings throughout the common space. Auditory alarms observed functioning at the time of the visit. The LPA observed an adequate amount of emergency food and water. No obstructions or hazards observed inside or out. Report Continued on LIC 809C... Report Continued from LIC 809... RESTROOMS: There are two (2) restrooms for resident use. Bathrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured in both bathrooms starting at 10:28am and they measured between 105.8 and 110.3 degrees Fahrenheit. BEDROOMS: There are six (6) bedrooms for resident use; all bedrooms are designated for private / single occupancy. Resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. The LPA observed two (2) closets with additional clean linens and towels for resident use. Staff bedroom observed on premises which is kept locked at all times. LAUNDRY ROOM: Washer and dryer were observed in a closet adjacent to the kitchen. Detergents and toxins were observed locked and inaccessible at the time of the visit. BACKYARD: The backyard has a shaded patio area with adequate furniture for resident use. All passageways were observed to be clear and free of obstructions. The LPA observed three (3) sheds used for storage which were locked at the time of the visit. There is one (1) self-latching gate for emergency use. No bodies of water noted at the time of the visit. RECORDS: The LPA reviewed resident records and staff records starting at 10:45am. Six (6) resident files were reviewed for, but not limited to, the following: signed admission agreements, current medical assessments with negative TB results, preplacement appraisal, and appraisal / current needs and services plan. All files were complete. Three (3) personnel files including the Administrator’s file were reviewed for, but not limited to: personnel records, health assessments with negative TB results, criminal record clearances, first aid/CPR training, and the appropriate yearly training. All records were in order. Administrator’s certificate valid until 10/17/2026. MEDICATIONS: The LPA conducted a medications review at approximately 12:25pm. Medications are centrally stored in a locked cabinet by the kitchen. Medications are being documented properly and appear to be administered as prescribed at the time of the visit. However, medications are being dispensed into separate containers 48 hours ahead of time. Staff placed medications back in original containers at the time of the visit. Report Continued on LIC 809C... Report Continued from LIC 809C... INFECTION CONTROL/EMERGENCY DISASTER PLANNING: During today’s visit, the LPA reviewed the facility's infection control plan. An adequate amount of Personal Protection Equipment (PPE) was observed. The LPA also reviewed the facility's emergency disaster plan, which was observed to be complete and reviewed/updated annually. Emergency disaster drills are conducted quarterly as per regulation; with the last drill conducted on 06/20/2025. The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Exit interview conducted. A copy of the report and appeal rights were provided.