KITCHEN: The kitchen and food storage areas were observed. Kitchen appliances appeared to be in operable condition. At 2:39 p.m. the LPA did not observed a sufficient supply of non-perishable food. The non-perishable food normally used by clients needs to be replenished. Upon observation, Ms. Garcia stated food delivery was scheduled to be delivered tomorrow, Tuesday and Facility has a three day supply of emergency food and water stored in the garage. Items that could pose a danger including sharp items and cleaning supplies were in a locked office. Medications are stored in a locked cabinet in the dining room area.

COMMON SPACES: In the common areas, furniture, walls, and flooring were clean and in good condition at the time of the inspection. All indoor and outdoor passages were free of obstruction. The fire extinguisher was fully charged and last serviced 6/12/2024. At 2:42 p.m. the carbon monoxide detector and smoke detectors in the common areas and bedrooms were tested and were operational. The backyard has outdoor seating for client use. At 2:52 p.m. the LPA observed a side gate for client use and is single-latched. However, administrator was advised gate needed to be fixed in order for the gate to fully self close.

RESTROOMS: The facility has one private and one common restroom for client use. Restrooms were observed to be clean and sanitary with hand soap, toilet paper and paper towels. At 2:47 p.m. the hot water temperature was measured in the hallway common restroom and it measured at 105.8 degree F.

RECORDS: At 3:02 p.m. the LPA reviewed P&I money and records with Ms. Garcia. P&I records for four of five clients were inaccurate and there were discrepancies between $9.94 and $149.90 for all the clients. Ms. Garcia made each account whole during the inspection and added any additional money needed. The facility has a current surety bond and liability insurance on file.

The LPA observed documentation of Infection Control, Disaster prevention and last emergency drill (conducted on 06/10/2024). The five client files reviewed were found to be complete. Five staff files were reviewed and also found to be complete. The facility has a 30 day supply of personal protective equipment and an emergency disaster plan.

MEDICATIONS: Medications are locked and centrally stored in a locked cabinet in the dining room area. At 5:45 p.m. medications for two clients were reviewed. All medications are labeled and maintained in compliance with label instructions, and state and federal law. All medications reviewed were recorded on the centrally stored medication and destruction record. The LPA inspected the first aid kit, which was complete.

INTERVIEWS: Interviews with two staff and one client were conducted. No issues or concerns observed.

The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties. Exit interview conducted. A copy of the report and appeal rights were provided.