Routine inspection·September 15, 2023

Licensing Program Analyst (LPA) arrived at the facility unannounced to conduct a required annual visit at 12:50 p.m. The LPA met with Licensee/Administrator Myline Olivas and explained the reason for the visit. At approximately 1:15pm, LPA and administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher appeared fully charged and was last serviced 08/10/2023. KITCHEN: Knives are stored in a locked drawer and chemicals are stored in a locked cabinet in the garage adjacent to the kitchen. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. ceiling/lighting needs to be replaced/repaired. BEDROOMS: The LPA observed two double-occupancy and two single-occupancy client bedrooms and one staff room. Rooms were furnished appropriately. RESTROOMS: Restrooms are clean and sanitary. Wall behind the toilet in the first bathroom observed to have water damage. COMMON SPACES: At the time of the visit, the living room and dining room furniture was observed to be in good condition. The LPA observed the required postings throughout the facility. The backyard patio is equipped with furniture for clients' use. Side gate door is not self-latching. Spring needs to be installed to ensure gate self latches closed. Client files reviewed (2pm): 4/4 client files were reviewed, no deficiencies were observed. Staff files reviewed (2:30pm): LPA reviewed files for the administrator and 2/2 staff present today, no deficiencies observed. Medications: At 3:15pm a random selection of client medications was reviewed. All appeared to be stored and administered according to doctors’ orders and applicable laws and regulations at this time. Pursuant to Title 22 CA Code of Regulations, the following deficiencies were cited (refer to LIC 809-D): Exit interview conducted, appeal rights explained. Copy of report provided.