At approximately 12pm, the LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

COMMON AREAS: The facility is a single-story structure with a large sun room, dining room and living room. The LPA did not observe any obstructions or hazards. At the time of the visit, living room, sun room and dining room furniture was observed to be in good condition. There is a fireplace in the living room, which is screened and inaccessible. The facility maintained a comfortable temperature of 74 degrees. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The LPA observed (2) fire extinguishers throughout the facility which were last serviced 07/18/2024.

KITCHEN: Kitchen/food service area observed to be clean and sanitary. Knives and cleaning supplies are stored inaccessible. Kitchen appliances observed to be in operable condition. The facility had a sufficient supply of two day perishable and seven day nonperishable food items.

BEDROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are five designated resident rooms. No staff room therefore licensee shall provide 24 hour staffing. Licensee shall submit an updated LIC500 to show 24 hour staffing schedule. RESTROOMS: Resident restrooms (2.5) observed clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels.

OUTDOOR AREA: The backyard has outdoor area equipped with furniture for client use, a patio table with an umbrella. Storage unit in the back; side gate with exit and single latch. No bodies of water noted.

RECORD REVIEW: Residents’ records review began at approximately 12:45 p.m., records were reviewed for, but not limited to care plans, medical records, admissions agreement, consent forms. All required records were observed in the resident files. At approximately 1:30 p.m., Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Staff training records observed incomplete; missing training topics; unable to verify. Extensive time was spent on staff training records; consultation with Licensee/Administrator. Licensee/Administrator will review each staff training records and update accordingly to show specific training topics; training hours complete - time. Training records must be signed by the trainer and staff receiving the training. Licensee/Administrator and staff confirmed that emergency drills are conducted quarterly however not recorded as part of the training. Moving forwarded Licensee/Administrator stated that staff training provided and completed will be recorded accordingly as required by law.

MEDICATIONS: Medications review began at 3:30 p.m.; medications are centrally stored and locked in a medication closet in the hallway; medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored medications and destruction record.

Pursuant to Title 22, California Code of Regulations, the following deficiencies will be cited (refer to LIC 9099-D)

Exit interview conducted. Appeal Rights discussed. A copy of today's report provided.