The following 12 (CARE) domains were reviewed during today's annual required visit which included: infection control, physical plant and environmental, operational requirements, staffing, personnel records-training, client rights-information, client records-incident reports, food service, health related services, incidental medical services, disaster preparedness and emergency intervention.

1, Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting the clients. Staff are cleaning and disinfecting each shift for high touched surface area. Facility has sufficient PPE supplies and has an Infection Control Plan in place.

2, Physician Plant and Environmental Safety: The facility is a single-story house and it's located in a residential neighborhood area. The facility includes: living room, kitchen, laundry room, three clients' bedrooms, two client’s bathrooms and a detached garage. Client's bedrooms have a bed, one chair, one night stand, required furniture and beddings and sufficient lighting and closet space. The bathroom is clean, sanitary and in an operational condition. The hot water temperature in client's bathrooms and kitchen were tested between 106.0 and 106.1 degrees F which is within Title 22 regulation. . All the kitchen appliances are working well. All the sharp knives and utensils are stored and locked in the file cabinet next to the kitchen. The chemical and cleaning supplies are stored and locked in the hallway cabinet.

• 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.

3. Operational Requirement: The facility is approved for ambulatory clients only and currently all three clients in the facility are ambulatory. The client would be able to attend the community events if there's an opportunity or chance. The facility has a shaded patio area with chair and table for client to utilize the outdoor activity. The last fire drill was conducted on 4/09/2025.

4. Staffing: Facility has sufficient staffing in the facility. LPA inspected the NOC shift staff file and the staff has the required facility planned emergency procedure training.

5. Personnel Record-Training: All the staff files are stored in the garage/office. LPA inspected all four (4) staff files and they are all over 18 years old, fingerprinted cleared and associated with the facility. All the four (4) staff files have the required documents which included: personnel record, health screening and TB test result, updated first aid certificate, employee rights, and required training hours. The facility administrator is Olaide Osibogun and her administrator certificate expired on 4/16/2025 but is confirmed that the administrator certificate is pending renewal. The Administrator does not have the required updated HIV and TB training certificate in file.

6. Client Rights-Information: No client is required any postural support in the facility. The facility served client with at least one internet access device and equipped with video conferencing for client to meet with their day program or medical appointment if needed.

7. Food Service: LPA observed the Kitchen, food preparation area, and storage areas were observed to be clean and sanitary. The facility has sufficient 2 days perishable and 7 days non-perishable food supply in the facility. All the food are stored properly in the facility. Currently there's no client required any modified diet.

[Continue in LIC809-C]

9. Health Related services: All the client’s medication are centrally stored and locked in the file cabinet near the kitchen /dining table. LPA inspected all four (4) client’s medication, physician’s orders, centralized medication destruction record, and they all seemed accurate and updated. All four (4) clients have the 30 days’ supply of medication. The facility also assisted client with doctor and dental appointment with transportation too.

10. Incidental Medical Services: There's no client in the facility is on any restricted or prohibited health condition plan at the present time.

11. Disaster Preparedness: The facility has an updated emergency disaster plan and the facility conducted the fire drill on 04/09/2025. The facility has two temporary alternative shelter location.

12. Emergency Intervention: The facility does not use any restraint on clients but all the staff are CPI trained.

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 conducted and a copy of the report with appeal rights were provided to the administrator Olaide Osibogun.