At 10:30am LPM and LPA inspected the physical plant including but not limited to the kitchen, dining room, resident bedrooms; resident bathrooms, laundry room, living area, other common areas, and outside of the facility to ensure compliance with Title 22 regulations. Facility is a single-story home with a fire clearance to serve 6 non-ambulatory elderly residents in rooms 1-3 and hospice approved for one (1). Currently, there are no residents in care on hospice. Facility has 3 resident bedrooms, one staff bedroom and 2 bathrooms for resident use. All residents bedrooms are shared. LPA observed both bathrooms to contain grab bars, non-skid flooring, shower chairs, close lid trash containers and hygiene supplies. Resident bedrooms were sanitary, furnished, well-lit and had adequate storage for resident’s belongings.

The facility common areas are cleaned and furnished. Facility has a dining area off the kitchen and a formal living room. In the kitchen area, LPA observed the kitchen to be sanitary and free of clutter. Additionally, the kitchen knives and other sharp objects are kept in a locked drawer. Toxins and cleaning supplies are kept locked under the kitchen sink. LPA observed the facility to have adequate food supply with at least 2 days’ worth of perishables and 7 days’ worth of non-perishables. LPA and LPM observed the garage to be free of clutter. The garage also houses an additional fridge that is not working, and functioning washer and dryer.

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LPA observed the dining room to be free of clutter. The front yard and the backyard are observed to be free of obstruction and well-maintained. Water temperature reads between 107 degrees F in one of the bathrooms and kitchen faucet. Room temperature reads 77*F. Smoke and carbon detectors were in good repair. Fire extinguisher was serviced on 12/12/22. Medication storage area was observed to be locked and inaccessible to residents in care. Medication records were reviewed and in compliance with regulation. First aid kit was observed to have adequate supplies and accessible to staff.

During this inspection 4 resident files and 5 staffing files were reviewed for regulatory compliance. All files contained required contents including staff training requirements. All staff noted on LIC 500 contained criminal background clearances. LPA conducted 2 resident interviews and 2 staff interviews. Resident files reviewed contained all required contents including updated admission agreements, medical assessments, and updated appraisal forms as required. Facility’s liability insurance is current and update to date per regulatory requirements. LPA observed personal rights poster. Facility has appropriate internet access available for resident use. LPA observed sufficient equipment and supplies to meet activity program needs of residents in care. LPA reviewed facility’s disaster plan to ensure regulatory compliance. LPA's record review revealed evidence of quarterly fire drills.

LPA also conducted the inspection using the CARE tool. The facility has an approved infection control plan in place. LPM and LPA requested an updated copy of Liability Insurance, LIC 308 and LIC 500.

Per California Code of Regulations, Title 22 and Health and Safety Codes, no deficiencies were observed during this visit. Interview was held with the Administrator Lilibeth Meza and a copy of this report were provided.