KITCHEN: The LPA inspected the kitchen/food service area at 9:25 a.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and dry food pantry were checked for proper labels and expiration dates and food labels had expiration date clearly marked. Knives and sharps were observed locked and inaccessible in a drawer next to the oven. At 9:28 a.m., the hot water temperature was measured in the kitchen sink, and it measured 113.1 degrees Fahrenheit.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature. At 9:38 a.m., the smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. Activities were observed in the living room. There is a working telephone on premises.

Report Continued on LIC 809C...

LAUNDRY ROOM: There is a washer and dryer on premises. The staff assist clients with all laundry needs. The LPA observed detergents and cleaning supplies locked and inaccessible to clients in care.

BACKYARD: The backyard has an area equipped with furniture for client use. Emergency exits and passageways were observed free of obstruction. No bodies of water noted at the time of the visit.

BEDROOMS: There are four (4) client bedrooms. The LPA observed the client bedrooms to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.

RESTROOMS: There are two (2) client restrooms. Restrooms were clean and sanitary and in operating condition with non-skid surfaces. The bathrooms were sufficiently stocked with liquid hand soap and paper towels; towels and washcloths are not shared. The hot water temperature was measured in both bathrooms; the first bathroom measured 113.9 degrees Fahrenheit at 9:23 a.m.; and the second bathroom measured 110.3 degrees Fahrenheit at 9:33 a.m.

RECORDS: Records review began at 9:50 a.m.; four (4) client records were reviewed for, but not limited to: signed admission agreements, current medical assessments with TB results, LIC627(c) Consent for Treatment form, and current needs and services plan. All records were complete.

Two (2) personnel records including the current Administrator’s file were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. The Administrator’s first aid/CPR expired on 02/15/2024. The Administrator stated they will be renewing training and sending proof to LPA.

Report Continued on LIC 809C...

The last emergency disaster drill took place on 12/21/2023.

MEDICATIONS: Medications review began at approximately 12:00 p.m.; medications are centrally stored in a locked closet by the Administrators office. All medications are labeled and checked for expiration dates. Medications are properly documented on the centrally stored record. No errors observed during the medication review.

The LPA observed the Accessory Dwelling Unit (ADU) that has been added to the facility. Although the ADU is up and ready there are currently no clients residing in the ADU.

The following deficiency was observed (See LIC 809-D) and cited from the California Code of Regulations, Title 22 and/or California Health and Safety Code. Failure to correct this deficiency may result in civil penalties.

Exit interview conducted. A copy of the report and appeal rights were provided.