At 9:05 AM LPA Haley and staff began the inspection at the entrance of the facility. Three clients were present during the visit. A screening station with hand sanitizer and screening logs was observed right next to the front door. Above the screening station a fully charged fire extinguisher was mounted on the wall. Next to the screening station near the front door there's a closet used as a pantry. Inside the pantry LPA observed chips, coffee, and other non-perishable food items.

Clients bedrooms were clean, organized, and had all necessary requirements: night stand, chair, lamp and storage space. At 9:25 AM, LPA observed in client bedroom #3 a sheet covering a portion of the wall. Behind the sheet, the wall is exposed and you can see the insulation and studs. The client bathroom was clean and organized. Hot water temperature was measured at 109.2 degrees Fahrenheit. In the hallway cabinets between the living room and client rooms LPA observed a supply of clean linen and a emergency bag with non-perishable food items, clothing, a first aid kit and other items. Client files and medication records are locked in a file cabinet in the hallway. Next to client bedrooms 1 and 2 LPA observed two locked cabinets with plenty of clean towels and bed sheets.

In the dining room LPA Haley observed a small table set up for staff in the corner, and locked cabinets used to store client medication and a supply of non-perishable food items. In the kitchen LPA observed a 2 day supply of perishable food items and a 7 day supply of non-perishable food items in the cabinets above the counters. All burners on the stove were operational.

The backyard area was observed. Right outside the laundry room exit, LPA observed a deep freezer with an additional food supply. Currently, portions of the facility is under construction. An additional room is being added where the covered patio use to be. There was a detached garage in the backyard, and that is being converted into an addition living space. In the backyard LPA observed several piles of clutter and debris related to the construction. LPA observed the following items: dry wall, pipes, wood, metal, screws, nails, an old fence, shovels, rakes, a basket, and several other items. A locked storage shed was observed and is used to store tools for the construction project.

After inspecting the backyard LPA Haley observed a staff room near the kitchen, and an office space set up with two desk in between the living room and hallway that leads to the client rooms. Next to the office area in the living room LPA observed an additional office space and rest area with a computer and two additional beds. In the small office resting place LPA observed a locked file cabinet with client medication, and a first aid kit. There's a makeshift/temporary wooden wall that separates the office set up in the living room, the small office/rest area, and staff room. On the other side of the makeshift/temporary wall is where the addition room is being constructed.

No bodies of water were observed during today's visit. All smoke detectors were tested and are operational.

Regarding the deficiency for the construction, Licensee Leilani Alejandro stated the LPA Albert Marin was made aware of the planned construction during his inspection January 5, 2022. The construction was about to begin on the detached garage in the backyard. During the inspection LPA Marin said "what are you going to do here?" and the licensee explained the plans for construction. LPA Haley checked FAS and nothing was documented by LPA Marin regarding the planned construction.

An exit interview was conducted and a copy of this report, LIC809D and appeal rights were provided to Administrator Leilani Alejandro.