The facility has five (5) bedrooms and two (3) bathrooms designated for residents. One (1) bedroom is designated for staff/office only and will remain locked at all times. The facility also has an approved hospice waiver for six (6) residents. The facility serves residents with dementia. Five (5) residents and two (2) staff were present during this inspection.

At 02:45 PM, with the assistance of (S1) Administrator Anahit Tonoyan, LPA conducted a physical plant to ensure facility is in compliance with Title 22 Regulations. Facility Temp measured at 73 degrees.

Required postings were observed in the entry area. The smoke alarms are hardwired and interconnected. 3 out of 3 auditory alarms were on and functioning during today’s visit. The carbon monoxide and smoke detectors were tested and function properly. The fire extinguisher is located in the kitchen. A second extinguisher was noted in the hallway. The charge date is 10/5/23. First Aid Kit and manual were noted in the administrator office.

Kitchen: The kitchen appliances and fixtures were functional. Facility stove burners were equipped with child proof handle. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives were stored in a locked cabinet next to the dishwasher in the kitchen. LPA observed the register machine for the call system.

Medications were observed with properly labeled medications these were locked and secured in a 4 ft tall cabinet in the Administrator office along with resident files.

Laundry area was observed to be locked. Both appliances were in good working order. Detergents and solutions were secure and inaccessible to residents. Laundry room is located in an alcove in the kitchen.

Bedrooms: There were five (5) bedrooms designated for residents' use. Two (2) rooms will be shared, and two (2) rooms were private at the time of the visit. LPA observed rooms to have bedding sheets, pillowcase, blankets, mattress pads, which are in good condition. There is at least one chair, a night stand, and sufficient lighting for each client. The mattresses and bedsprings were also checked for condition. Window covering and window screens are in good repair for each room.

Bathrooms: There are two (3) bathrooms designated for residents' use. All bathrooms were properly supplied and had functional fixtures. Hot water temperature was measured at 114 degrees Fahrenheit. Cleaning supplies are locked and inaccessible to residents these are stored under the sink.

Common Areas: These included the living room and dining area. The common areas were properly furnished. The auditory alarms on all exit doors were on and functional at the time of the visit. LPA observed a ring surveillance camera only at the front door.

Outside grounds were toured and a pool was observed. Pool is enclosed by a black 5 ft. tall fence and pad locked. Patio furniture under a shaded area was accessible to clients. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises.

At 3:35 PM LPA conducted a file review.

3 staff records were reviewed, 3 out of 3 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions.

5 resident records were reviewed and, 5 out of 5 client records had Admission Agreements, Medical Assessments, Pre-appraisals (or Reappraisals) and/or Needs & Services Plans.

Last fire drill completed on 08/30/23.

Medication and Medication Records were reviewed for proper documentation.

No deficiencies cited.

An exit interview was conducted, A copy of this report and appeal rights were discussed and left with Administrator Anahit Tonoyan.