At 10:42 AM LPA Alemoh conducted a physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. Facility is following COVID Protocols. There is signage on the front doors. LPA was screened upon entry and signed in.

The facility contains 8 shared bedrooms with a maximum capacity of 16. Facility is approved for hospice waiver for six hospice residents. The Annual Licensing Fees are current.

S1 accompanied LPA inside and outside the facility during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards.

LPA observed (8) Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises.

LPA observed four (4) Resident bathrooms at random. Restrooms #1 and #2 are located by the front entrance, designated for staff use. Restrooms #3 and #4 are designated for residents. Toilets and water faucets worked properly, grab bars were secure, shower was free of mold/mildew and a non-skid mat was in place, hot water temperature properly measured between 112-114F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked.

Common areas were clean and clear of hazards, doorways were free of obstructions. Clients were observed watching facility television. There were three (3) Couches with normal wear and tear.

Laundry area is adjacent to resident restrooms #3 and #4. LPA observed them to be clean and appliances in good repair. Cleaning products were inaccessible to residents and stored in grey cabinets. This room was locked during inspection.

LPA toured the kitchenette and observed a two-day supply of perishable and a seven-day supply of non-perishable food. Knives and toxics were kept in a locked storage cabinet. Appliances observed to be in good repair and functioning. First Aid kit and manual was located near staff desk. There are two (2) fire extinguishers in the facility. One in the main resident hall. A second extinguisher were observed near front entrance with receipt date of . Dual Smoke alarms and carbon monoxide are hardwired and interconnected, were tested and observed to be operable. Sprinkler system is tested quarterly. Fire/earthquake drills completed monthly. Last drill was conducted on 12/28/23.

At 12:15PM LPA Alemoh conducted a file review to ensure facility compliance with Title 22.

Eight (8) staff records were reviewed, 8 out of 8 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions.

Eight (8) resident records were reviewed and, 8 out of 8 client records had Admission Agreements, Medical Assessments, Pre-appraisals (or Reappraisals) and/or Needs & Services Plans.

LPA was accompanied in the Medication room by S1 and Charise Ware. All resident medication is stored centrally. Residents are administered medications through a Medication Window located in the resident hall. This room was locked at the time of visit. First aid kit located in the medication room.

No deficiencies cited.

An exit interview was conducted. A copy of this report and appeal rights were left with Executive Director Anasheh Safarian and Program Manager Cryzel Gonzales.