Kitchen: The kitchen area was observed at 11:19 a.m. The facility has a sufficient supply of non-perishable and perishable food items. Cleaning supplies and disinfectants are stored inaccessible to clients. Knives are stored in a locked cabinet in the kitchen.

Common areas: Living and dining room furniture were observed to be in good condition. There is a fireplace in the second living room, which is screened and inaccessible. At 11:40 a.m., smoke detector(s) and carbon monoxide detector were tested and were operational at the time of the visit. The LPA observed required postings throughout the common space. The fire extinguishers were charged and were serviced 6/26/2023.

The backyard has a covered outdoor area equipped with furniture for client use. The side gate was self-closing and latched. No bodies of water noted. The washer and dryer are in the garage. There were additional perishable and non-perishable food items in the garage, which were delivered at the time of the visit. The garage is not locked.

Restrooms: The two client restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. At 11:33 a.m., the hot water temperature measured in the hallway restroom at 100.9 degrees Fahrenheit. Upon observation, the administrator had staff adjust the water temperature. After the adjustment, the hot water temperature measured in the hallway restroom at 108.0 degrees Fahrenheit. Report will continue on LIC809-C.

Records: The LPA reviewed client and staff records at 11:57 a.m. The LPA reviewed five (5) of six (6) client files for, but not limited to, the following: signed admission agreements, current medical assessments with TB results, and current needs and services plan. All files were complete and current. The LPA reviewed five (5) staff files for, but not limited to, the following: personnel records, health screening, criminal record statements, current first aid certification. All files were complete. The LPA obtained the following documents: LIC500 Personnel Report, LIC9020 Client Roster, staff schedule, surety bond, and liability insurance.

At the start of the visit, the LPA noted that the Administrator on file was Amanda G. Lee. However, Vanessa Garcia indicated that they were the current administrator and that they had submitted all required documents to LPA Morgan. The LPA requested all documents to be resent via email to make the change of Administrator. During today’s visit, the LPA audited the current Administrator’s file and it was in order. The facility has one (1) facility van, which had appropriate vehicle insurance at the time of the visit. The facility is vendored by Tri-Counties Regional Center (TCRC) as a level 4-I home. The last disaster drill was conducted on 04/03/2024.

Medications: Medications review began at 01:03 p.m.; medications are centrally stored and locked in a cabinet in the dining room. The LPA also observed medications that required refrigeration to be locked in a concealed bag in the refrigerator in the garage. Medications are labeled and checked for expiration dates. The LPA advised the Administrator to ensure that all the necessary information is properly documented on the centrally stored medications and destruction record (CSMDR). Upon observation the administrator stated the CSMDR is auto populated and provided by the pharmacy, and they will have a conversation with the pharmacy and ensure staff makes any necessary corrections. No errors observed during the medication review.

Interviews: The LPA conducted two (2) staff interviews, and two (2) client interviews. No immediate concerns voiced at this time.