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25 | On July 05, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with the Lead Caregiver, Matthew Uchiyama. The facility file review was conducted in the Regional Office and additional forms were reviewed and requested on site. The facility is licensed for six Adults and is currently operating at a capacity of three Adults (735).
LPA Mixson toured the facility along with the Lead Caregiver, and inspected the facility inside and outside, and there were no obstructions or debris to the indoor or outdoor passageways at the time of this visit. The facility is a single-story home located at 41697 Zinfandel Ave Temecula, CA 92591.
Physical Plant: The facility phone number is (951) 240-7141 and it is operable. The LPA observed the residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguisher. LPA Mixson observed required postings such as "If you See Something, Say Something" the "Personal Rights." The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit.
Medications: Were locked and inaccessible to residents in care, and there was a sufficient supply of medication for each resident. The overall facility is clean, the furniture is in good condition. The facility cooling system and other appliances were operable currently at the time of this visit, and there were safety lights for night throughout the facility.
Food Service: Non-perishable and perishable food supply is sufficient per regulations, and there are a variety of food types available for residents. Dishes and utensils were in sufficient supply and stored properly, and sharp items are locked.
Care & Supervision: Facility has sufficient staff, one staff on site at the time of this visit, and residents are in the community.
Records Review: The LPA reviewed resident and staff files, conducted one staff interview. The three residents are currently at the Day Programs. Previous Community Care Licensing forms were reviewed. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit.
An exit interview was conducted, and a copy of this report was discussed and given to the Lead Caregiver, Matthew Uchiyama.
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