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25 | Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Required 1 Year Visit and met with Program Director (PD) Najon Saina.
During visit, LPA toured the facility inside and out. LPA toured the kitchen area and activities areas. LPA observed a storage closet where cleaning supplies were stored. PD stated that none of the clients have medications or money stored at the facility. LPA reviewed the first aid kit and found it to be complete. The Fire Drill Log indicates the last drill was conducted on 02/28/2025.
LPA tested one out of one carbon monoxide detector, which functioned properly when tested. During visit, PD was unable to test the smoke detector system due to the smoke detector system not having a key pad in the control panel. PD spoke with the customer service of the smoke detector system company during visit and was told that the smoke detector system could not be tested by the company remotely and a technician would need to be scheduled to make a visit and test the smoke detector system on site.
LPA Marrufo obtained a copy of the invoice from the smoke detector company for a visit conducted on 03/13/2025. The invoice is for battery replacements on all devices and the panel. The invoice states, "All systems normal."
LPA Marrufo reviewed six resident records and six staff records. All reviewed resident and staff records were complete.
An Advisory Note was issued. See LIC9102 for more information.
No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Program Director Najon Saina and a copy of this report was provided. |