Routine inspection·May 9, 2025

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit and entered the facility at 9:45 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Administrator arrived shortly after. The LPA met with Administrator Tammy Frame and explained the reason for the visit. The LPA along with 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. INTERVIEWS : From 9:49 a.m. – 10:07 a.m. One (1) staff and two (2) resident interviews were conducted during the inspection. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interviews revealed that no concerns were noted or voiced at the time of the visit. COMMON AREAS : At the time of the visit, furniture in the common areas were observed to be in good condition. The facility maintained a comfortable temperature. At 11:07 a.m., smoke detector(s) and carbon monoxide detectors were tested and operational at the time of the visit. The three (3) fire extinguishers were observed and fully charged on 5/8/2025. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 03/25/2025 and conducted quarterly. Activities were observed in the common areas. The facility has a working telephone on the premises. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. GARAGE: The garage was observed locked and inaccessible to residents at the time of the visit. The facility has a sufficient supply of emergency food and water which was observed to be in good condition. LPA observed a freezer in the garage, the food was inspected for dates and food labels that had expiration dates clearly marked. Report Continued on LIC 809C... Report Continued from LIC 809... KITCHEN : The LPA inspected the kitchen/food service area at 10:11 a.m. The hot water temperature was measured at 10:12 a.m. and measured at 107.8 degrees Fahrenheit within the required range. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Food labels were inspected and checked for dates and expiration. Dates and food labels had expiration date clearly marked. The knives and sharps were observed in a locked drawer inaccessible. BEDROOMS: The facility is a single-story residential home with six (6) private, single occupancy resident bedrooms. The LPA observed resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. RESTROOMS: There are three (3) restrooms of which two (2) are private resident use and one (1) is a shared, common use. Restrooms were clean and sanitary and in operating condition with grab bars and slip resistant surfaces. The restrooms were sufficiently stocked with hand liquid soap and paper towels; towels and washcloths are not shared. The hot water temperature was measured in all restrooms from 10:22 a.m. – 10:27 a.m.; and measured between 109.5 – 113.9 degrees Fahrenheit all within the required range. LAUNDRY ROOM: LPA observed the locked laundry room with a washer and dryer. Cleaning supplies and detergents were observed locked and inaccessible at the time of the visit. The LPA observed a sufficient supply of Personal Protection Equipment (PPE). BACKYARD: The backyard has an area equipped with outdoor furniture including a table and chairs for resident use with appropriate shade. Facility has an in-ground pool, which was observed to be fenced with an appropriate lock. Outdoor exit gates were observed to be self-closing and self-latching at the time of the visit. Emergency exits and passageways were observed free of obstructions and hazards. Documents obtained: LIC 500 Personnel Report, LIC 9020 Resident Roster, and Liability Insurance. Due to time constraints an LPA will return to complete the annual at a later date. No deficiencies cited at this time. Exit interview conducted. A copy of the report was provided.