At the time of the visit, the facility does not have residents. The Administrator stated that on April 11, 2024, he informed LPA Brian Basili via email, that due to the low number of residents at Cottages of Lake Balboa 1, the administrator was going to speak to the families of the residents about transferring the residents to Cottages of Lake Balboa 3; the families agreed, and three residents were transferred. No residents have resided at the facility for about two months. No staff was present at the time of the visit. The Administrator stated that they have applied to be a vendor through the Assisted Living Waiver (ALW) program and the Regional Center (RC). Administrator is awaiting approval from the ALW and RC. The Administrator stated that they may use some of the bedrooms as offices, but will inform and will request approval from the Community Care Licensing Department, prior to the changes.

The LPA and the 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: 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. Smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. One fire extinguisher was fully charged and were last serviced 01/09/2024. The LPA observed required postings throughout the common space.

KITCHEN: Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food.

Continues on LIC 809C…

BATHROOMS: Bathrooms 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.

OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for client use. No bodies of water noted. The laundry area and staff room were located to the right of the entry way door. LPA observed room to be inaccessible to residents in care. The washer and dryer are located in a room adjacent to the staff room. Cleaning supplies and disinfectants are kept in locked in the laundry area.

RECORDS: No residents’ or staff records were reviewed at this time. The Administrator will inform the LPA when new residents are admitted, and staff start working. Once the LPA is informed, the LPA will return to review records.

MEDICATIONS: No medications were review at this time.

INFECTION CONTROL: The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19.