Physical Plant: The facility phone number is (951) 349-0321 and it is operable. LPA Mixson observed the four resident’s bedrooms, and each was furnished with required fixtures as per Title 22. LPA Mixson inspected the facility bathrooms, and the hot water temperature tested within regulations, and logged. The bathrooms were clean, and appliances were operating appropriately at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. LPA Mixson observed required postings such as "If you See Something, Say Something,” the "Personal Rights," and the LTCO poster. The cleaning supplies and sharp items were locked and inaccessible to the residents in care presently. There were designated storage spaces for the residents’ and staff’s files, and this file cabinet was locked and inaccessible to residents in care at the time of this annual visit.

• 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.

Food Service& furniture: The kitchen was clean and free of any seen pest, clutter, or unsightly debris. The non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for the residents in care at the time of this visit. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked. The overall facility is clean; the furniture is in good condition and arranged in a manner which provides space for the residents to move safely. The facility heating system and other appliances were operable at present. The House Manager informed the LPA there were safety lights for night throughout the facility, and the LPA observed these as indicated.

Care & Supervision/Administration: Currently there are adequate staff present for the care and supervision of the resident in care. There are two staff available at the time of this annual visit. The floor plans, telephone numbers and personal rights were found posted in the facility. The listed Administrator Melvin Jake Dailo possesses a current administrator’s certificate with an expiration date of 11/04/2027.

Records Reviewed and Resident/Staff Files: LPA reviewed staff and resident files. The LPA reviewed the facility's staff schedule, requested and received proof of the annual fees being paid. The staff files reviewed have criminal clearance, updated training, along with current First Aid certification. Resident files reviewed possessed the required paperwork as per Regulations at the present. Including current physical and TB test, along with updated IPP’s.

Infection Control: LPA Mixson observed the hand washing stations in the facility restrooms. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found required infection control measures met the Department requirements.