Routine inspection·March 13, 2024

Licensing Program Analysts (LPAs) Jill Nakagawa and Stefanie Mutialu arrived unannounced to conduct an 1-Yr Annual Inspection on March 13, 2024. Facility was toured both indoors and outdoors. LPAs inspected the physical plant, food service, medication, client and staff records. The outside of the facility was observed to be in good repair and safe for residents. The inside of the facility was observed to be in good repair. Bathrooms and showers were clean and in good repair. Hot water temperature was117.2 F . Facility was maintained at a comfortable temperature. Required amounts of stored and perishable foods were present. Bedrooms were observed to be in good repair and bedding, storage and lighting were adequate. Medication, chemicals and toxins were appropriately under lock and key. Smoke detectors/carbon monoxide detector were present. Maintained monthly. Facility is equipped with a fire sprinkler system and a central pull fire alarm. Fire extinguishers were fully charged and ready for emergency use and last serviced on 1/15/2024. First aid kit was fully stocked for use. Facility license was openly posted for viewing. Administrator certificate for Jessee Plenos was observed to be current and expires 8/1/2024. Three staff and 5 residents records were reviewed. .......... Continued on 809-C Continued from 809.... Facility has 9 ambulatory residents and 1 non-ambulatory resident which is within fire clearance allowances. A review of staff records on 3/13/24 indicates that all facility staff who require caregiver background checks have received criminal record clearances and are current on their First Aid/CPR training. Facility to submit documentation of other employee training. Other documents requested: Proof of Liability Insurance Resident Inventory Forms Completed SOC341A forms There were no deficiencies cited on this visit. Exit interview conducted.