Routine inspection·December 11, 2024

Licensing Program Analyst (LPA) Kelly Dulek arrived unannounced to conduct a Required Annual Inspection. Upon arrival, LPA was greeted at the door by House Manager Maria Veronica Large and the reason for the visit was explained. The Licensee, Johneil Briones, arrived at approximately 03:45PM. Entrance interview conducted. Beginning at 01:58PM, the LPA, along with House Manager toured the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was observed: BEDROOMS: There are 5 (five) resident rooms and 1 (one) staff room. LPA observed the resident rooms, which were furnished appropriately with clean linens, furnishings, and sufficient lighting. RESTROOMS: There are two (2) resident restrooms, one in the hallway and another in the master bedroom. Both restrooms are clean and sanitary and in operating condition with grab bars and non-skid surfaces. Restrooms are sufficiently stocked with liquid hand soap and paper towels. Restrooms were measured for hot water, which measured within the required range. KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food. The LPA observed all knives and sharps locked in a drawer inaccessible to residents. Cleaning supplies and toxins were observed locked under the kitchen sink. GARAGE AND GROUNDS : The garage is locked and attached to the house. There is another refrigerator in the garage with additional food. The LPA observed a sufficient supply of emergency water and food. Two (2) fire extinguishers were observed to be fully charged and recently purchased 12/07/2024. The facility maintains at a temperature. There is a covered patio area with patio furniture including a table and chairs for resident use. Facility has two (2) fence gates that self-latch with clear passageways for emergency exit use. The backyard contains a pool, which was fenced and locked appropriately. Report Continued on 809-C COMMON SPACES: The living and dining areas are clean and properly furnished with seating, a table, and television for resident use. The living room does have a fireplace, which was observed screened and inaccessible to residents in care. Combination smoke and carbon monoxide detector was tested at 04:39PM and was functional at the time of the visit. RECORDS: Records will be reviewed during the annual continuation visit MEDICATIONS: Medications will be reviewed during the annual continuation visit. INFECTION CONTROL/EMERGENCY DISASTER PLAN: Will be reviewed during the annual continuation visit. No citations issued. Exit interview conducted. A copy of the report was provided.