LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

2. Physical Plant and Environmental Safety: A tour of the single-story facility included the living room, dining room, kitchen, four (4) client bedrooms, two (2) client bathrooms, laundry area, front yard, backyard, and detached garage/office room. Each client's bedroom has two beds, two drawers, a nightstand, the required furniture and bedding and sufficient lighting and close space. The clients’ bathrooms are clean, sanitary and in good working conditions. Clean towels and extra clean linen were observed in the hallway cabinet. The hot water temperature in both bathrooms were tested between 105.7- and 107.0-degrees F which is within the Title 22 regulation. All the kitchen appliances are working properly. Sharps were observed locked in a kitchen cabinet. Chemical and cleaning solutions are kept locked in a cabinet above the washer and dryer and also under the kitchen sink. There's a telephone service on the premises. No bodies of water were observed in the facility. LPA inspected the carbon monoxide detectors and it's working well. The fireplace has a fence cover. The passageway, walkway and patio are free of obstruction. A fire extinguisher was observed in the kitchen and is fully charged. There is a shaded area with seating in the backyard.

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

4. Staffing: The facility has sufficient staffing. The night staff has the required emergency planned procedure training.

5. Personnel Records-Training: All staff files are stored and locked in the staff office. All the facility staff are over 18 years old, fingerprint cleared and associated with the facility. LPA reviewed five (5) staff files which include: personnel record, health screening, TB test result, required training hours and updated first aid certificate. The administrator’s certificate is valid until 2/19/2026 and has the updated HIV and TB training certificate.

6. Client's right information: Currently no clients require any postural support. The facility has served internet services with at least one internet access device, so clients can communicate with their family or day program or physician.

7. Food Service: LPA toured the kitchen which appeared clean and the appliances and fixtures functional. The facility kitchen was observed to be clean at the time of inspection. There are sufficient food supplies of 2-day perishable and 7-day non-perishable items. The food is properly stored in the refrigerator. There are no clients with modified diets residing at this facility. Plates, cups and utensils are kept clean and stored properly.

8. Client's Records-Incident Reports: All the client's files are stored and locked in the garage/staff office. LPA reviewed four (4) client's files which include: face sheet, Identification and Emergency Information Form, physician report with TB test result and ambulatory status, admission agreement, functional capacity assessment, Individual program Plan (IPP), Personal Rights, and Physician’s Orders.

9. Health Related Services: The facility will assist clients with their medical and dental appointments with transportation too. LPA reviewed three (3) clients’ medications and all medications are centrally stored in the cabinet near the kitchen and they all seem updated and accurate and they all have 30 days’ supply for medication. The (3) clients have a Centrally Stored Medication Destruction Record in file. LPA did not review one (1) resident’s medications since that one (1) resident is currently away from the facility. LPA reviewed the first aid kits which included all required items.

11. Disaster Preparedness: The facility has an updated emergency disaster plan. The facility has at least two shelter location in place. The facility conducted fire/disaster drill on 07/13/2025.

12. Emergency Intervention: The facility does not use any restraints or seclusion.

Per California Code of Regulations, Title 22, and California Health and Safety Code, the deficiencies observed during the visit are documented on the LIC809-D. Exit interview, appeals rights and a copy of this report were provided to the as provided to the Administrator, Luz Rasco.