LPA Tea reviewed one client file and three staff files. All files were complete and contained the required documentation. The Administrator Certificate is valid through June 17, 2026. AD Almuete reported that he is currently completing the required course work to renew his administrator certification.

LPA Tea and AD Almuete toured the facility, including the physical plant, food storage and preparation areas, and first aid supplies. The facility is a two-story home consisting of three client bedrooms, one-and-a-half bathrooms, a kitchen, dining area, and living room. The facility was observed to be clean, safe, and well maintained. Smoke detectors and carbon monoxide detectors were tested and found to be operational throughout the home. Client bedrooms were appropriately furnished with beds, clean linens, and adequate storage space for personal belongings. Bathrooms were clean and in good repair, with functioning fixtures and showers free of mold and mildew. The hot water temperature measured 117.3°F, which is within regulatory standards. An adequate supply of hygiene items, including towels and toiletries, was available.

Common areas were free of hazards and provided clear pathways for safe movement throughout the home. The first aid kit was complete and contained all required supplies. The kitchen was clean and fully

(Annual Inspection continued on LIC809C)

• 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.

Outdoor areas were also inspected and found to be safe, clean, and well maintained. Shaded seating areas were available for client use. The backyard gate was self-latching and functioning properly. Emergency food, water, and disaster supplies were available and appropriately stored.

During the inspection, LPA Tea observed the client returning from a day program, eating snacks, resting, and watching the musical Hamilton on television. The facility provides activities based on each client's interests and preferences, including puzzles, coloring, educational games, walks in the community and local parks, shopping trips, dining outings, and other community-based activities.

LPA Tea reviewed medication storage and administration practices. Medications were stored in a locked cabinet and administered according to physician orders. Personal and Incidental (P&I) funds were reviewed and found to be maintained in compliance with department requirements. LPA Tea also conducted interviews with the client and staff regarding the quality of care and services provided at the facility.

Based on observations, interviews, and records reviewed during today's inspection, no deficiencies were cited in the areas evaluated. The facility was found to be in compliance with applicable sections of Title 22, Division 6 of the California Code of Regulations.

An exit interview was conducted with Administrator Ronald Almuete. Copies of LIC809, LIC809-C, LIC858, and LIC859 were provided to the facility.